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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
rhinoplasty
 
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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.


next view of this patient

"I am so happy that I cannot even put it in words ... "
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All views of this rhinoplasty patient:
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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: What Are my Chances to Get a Worse Nose After Rhinoplasty?
I mean I dont have any trouble with my nose from front, but I want to get rid of the hump from profile and get the nose up a little bit so it does not get to fall down at the tip .. but I dont want to mess the front view, are there chances I get worse at all ? I mean yes I understand it depends on who perform the operation I know .. and is rhinoplasty get to shorten the nose a little bit ? thx very much
(Questioner submitted photos)

Dr. Denenberg's answer: In skilled hands, the chances of a worse nose for you are very low.
The changes that you want for your nose, removing the hump and raising the tip a small amount, are two of the most predictable changes to make in a rhinoplasty. Click on the "Web reference" link to see a morph of your nose, showing those changes. I happen to agree with your assessment of your nose: don't change the front, remove the hump, very conservative on raising the tip.

The rhinoplasty operation is still difficult, so you still need a skilled surgeon, and you have to review his before and after photos to get proof of his skill, but yours is not the kind of nose that should be left alone because of a high risk of problems. If you want those changes, it's reasonable to proceed.

Link to this question on RealSelf.com