• Rhinoplasty
  • Other noses:
rhinoplasty FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
rhinoplasty
 
Views of this rhinoplasty patient:

Image size is large
show smaller

She had a nose that was too projecting, a little too long, and with a hump in the middle of the dorsum.  And she had a chin augmentation at the same time as her rhinoplasty.  Augmenting a weak chin just always seems to help the nose.


next view of this patient

"I wanted the best and in my opinion he is the best! "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
rhinoplasty
rhinoplasty
current: Left profile
rhinoplasty

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.


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: Unhappy with Nasal Tip After Rhinoplasty? Will Secondary Revision Cost?
I had rhinoplasty in 2012 and was dissatisfied with the nasal tip. I noticed a few months after surgery the deformed tip, spoke with the surgeon and he said it was still healing. Well, it's a year and a half later and I am still unhappy with the results. From the front of the face you can see where the nose looks slightly crooked. The tip slants to the right of the face, making it somehow look larger from the side view on the left. I have attached pictures if you want to look.
(Questioner submitted photos)

Dr. Denenberg's answer: More work on the tip of your nose would make a big difference
Hi. The problem is not so much the asymmetry. It's that inadequate work was done on the tip of your nose. The tip of your nose is drooping down, and it projects strongly forward off of your face. See my "Web reference" link for a morph showing what your nose could look like with a revision rhinoplasty. In the morph, I brought your nose back toward your face, raised the tip, so it doesn't look so long, and I also tucked up the columella, which is the little piece of skin that separates the left nostril from the right nostril.

Small asymmetries are difficult to correct, but often, when a nose is deprojected, which means brought back closer to the face, some of the asymmetries go away, because asymmetries are frequently more noticeable when the nose projects strongly.

In selecting a surgeon, you need to see before and after photos of his work in revision rhinoplasty, and especially work on the tip of the nose. Tip work is the hardest part of the rhinoplasty operation to teach and to learn, and many doctors don't do it well enough.

The good news for you is that, in capable hands, deprojecting and elevating the tip of the nose are two of the most predictable parts of a revision operation.

Link to this question on RealSelf.com