Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, combination noses #23

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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.

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"I have so much more confidence ... "

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All views of this rhinoplasty patient:

rhinoplasty 1: Right profile	rhinoplasty current: Frontal

rhinoplasty 3: Left oblique	rhinoplasty 4: Right oblique

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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: My Nose Profile Has These Awkwards Lines. How Can This Particular Problem Be Fixed?
Depending on light and shadow, they are more or less evident, making my nose creepy. Also, I've been wearing glasses since I was 10 - I'm 20 now. Can these marks be a consequence of wearing glasses?
(Questioner submitted photos)

Dr. Denenberg's answer: The lines may adjust when the shape of the nose is changed, if that's a priority for you
Hi. It's never predictable how the skin will drape and fold over the nose. Were you thinking of changing the shape of your nose, too? If that were done, the folds might redrape in a way to make them less conspicuous, though it's not really predictable. See my "Web reference" link for a morph of a proposed change to your nose.

I brought it back closer to your face, raised the tip a small amount, and lowered the hump. Those are typical changes that patients request. You can see how that would change how the skin has to drape on your nose, and maybe for the better.

As far as changing the lines if you don't want to change your nose, I don't really encourage fillers, for example. I would probably just leave them alone.

Link to this question on RealSelf.com


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