• Rhinoplasty
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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Those of you who are very observant are wondering why he shows more nostril in the before picture than in the after picture.  More nostril usually means that the nose is shorter, but the nose wasn't lengthened during surgery, to decrease the amount of nostril shown.

The answer is that the work to bring the tip cartilages closer together and to decrease his columellar show tucked up the base of his nose and changed the curves of skin around the tip enough to partially hide the nostrils.


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current: Frontal
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Septo/rhinoplasty Consult?
Hello, I had a consult and CT scan showing I had a deviated septum. My surgeon had said if I cosmetically wanted to fix the tip of my nose, which has a deep cartilage split at the tip, giving the appearance of a "butt nose"...that it would be a couple of stitches when closing up. But I believe my nose turns up and the skin between the nostrils hangs, due to what I believe was terrible allergies and constant nose itching. What would be the best way to get a cuter shaped nose tip?
(Questioner submitted photos)

Dr. Denenberg's answer: Don't let that doctor operate on your nose!
Hi, BriC,

"A couple of stitches when closing up" pegs your doctor as someone who knows nothing about rhinoplasty. You must not let him operate on your nose.

Changing your "butt nose" requires complicated work on the tip of your nose, using advanced techniques that not all plastic surgeons understand.

Link to this question on RealSelf.com