• Rhinoplasty
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Steven M. Denenberg, M.D.
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Views of this rhinoplasty patient:

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Let's try to evaluate the surgical changes from this frontal view.  You can see some of the changes from removing the hump: the before picture has two parallel vertical white stripes along the dorsum of his nose.  Those stripes are the return from the flashes in my photo room.  The stripes give you a feel for the position of the dorsum and the presence of the hump, and they are missing in the after picture.

Nasal length: in the after picture, we can see just a glimpse of his nostrils.  That glimpse is our indication that his nose was shortened, because in the before picture, his somewhat droopy tip hung over and obscured our view of the nostrils.

Actually, he has his head tilted down slightly in the before picture, but the analysis is still valid. (You can tell that his head is tilted down a bit by looking at his right eye and his right ear.  In the after picture, his right eye is at the level of the top of his ear.  In the before picture, his right eye sits below the level of the top of the ear.)


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current: Frontal
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Is There a Way to Put a Very Slight Curve in my Nose Without Surgery?
I had a revision surgery 3 weeks ago. I was left with a too scooped nose so I wanted cartilage places to make it a little more straight with a slight curve. I feel that my nose is too straight now. Is it possible to get a slight curve without having surgery again?
(Questioner submitted photos)

Dr. Denenberg's answer: Revision rhinoplasty takes longer to show the final result
Hi, Eliza,

Three weeks is too early to judge the results of a revision rhinoplasty. Your nose will be changing and losing swelling for at least a year, more likely 18 months or so.

Also, revision rhinoplasty is so difficult, that it's rarely wise to operate to change anything "slightly." Every time you have surgery, some new feature will appear to bother you. My opinion is that you should back burner the idea of more surgery for at least a year or so.

Link to this question on RealSelf.com