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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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One of the lines of the face that plastic surgeons pay attention to is the line that is parallel to the bottom of the nose, along the columella.  In her before picture, that line is about parallel with the ground, and in the after picture it is pointing up a bit.


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"I flew all the way from South Africa
to Omaha for my rhinoplasty. "
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current: Right profile
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Questioner: My nose looks like it's cut in the middle, and looks like an extension?
From the picture you can tell that the surgeon made a mess. Looking at the picture, do you think a surgery is necessary?
(Questioner submitted photos)

Dr. Denenberg's answer: No fillers, please! But I believe improvements can be made.
Hi,

I know it's just one photo that you posted, but there are generally ways to improve the areas that you complain about in a revision rhinoplasty. 

The "dents" can often be filled in with cartilage grafting, and they can be made further inconspicuous by lowering prominences of bone next to the dents.

Then, I don't know whether this bothers you, but the tip of your nose can be raised, too. Whenever a nose is a little smaller, the bothersome features often are less noticeable. I shortened your nose in my morph.

My guess is that the doctor who recommended fillers or fat grafting does not perform revision rhinoplasty. Respectfully, I just think that's not a good solution for what I see in your photo.

Link to this question on RealSelf.com