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

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In this frontal view, we can see that the nose was shortened because the after picture shows some of the patients nostrils, invisible in the before picture.  In a frontal view, a long, drooping tip will cover the nostrils.

Also, look at the two white dots on the tip of her nose.  The white dots are created by the flashes reflecting off of her tip cartilages.  The dots are about at the level of her nostrils in the before picture, and they're well above the level of the nostrils in the after picture.

Finally, if you look carefully at the lower edge of the tip of her nose, you'll see that I narrowed her tip and filled in a little dent that existed between her two tip cartilages.


next view of this patient

"He is very kind and honest and
made me feel confortable from the first moment. "
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All views of this rhinoplasty patient:
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rhinoplasty
rhinoplasty
current: Frontal
rhinoplasty
rhinoplasty

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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: I am considering a revision rhinoplasty. I am not sure if it is even an option for me.
First surgery in 1988. Closed procedure. Left me looking deformed, cartilage collapsed. Second surgery, different surgeon tried to repair with closed procedure. Nothing changed. He agreed needed to be a bit more aggressive. Did a third surgery with some grafting. Open procedure. Made changes, but I still feel as though I look deformed. This was all done in 1992-1993. Now I am 48. (notice assymetry, bulbous tip, and dent in the middle.) Want to find out if ever possible to fix.
(Questioner submitted photos)

Dr. Denenberg's answer: Meaningful improvement is likely in expert hands
Hi,
From the information available in the photos, it does seem as though you should be able to get more improvement in your nose. What I notice: the upper part of your nose, where it's made of bone, is still a little wide, making an irregularity on the frontal view; the tip is still wider than it needs to be; from the front, the tip seems to droop down between your nostrils more than average; from the profile, the tip can still be elevated a little.
These are all changes that should be possible, even in a multiple revision. The problems relate to the size and position of bone and cartilage, and changing those elements of the nasal anatomy is very possible in revision surgery.

Link to this question on RealSelf.com



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