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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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The nasal septum is the wall that divides the inside of the nose into a left airway and a right airway.  When the septum doesn't sit in the middle, it can obstruct airflow through the nose instead of guiding the airflow.  We then call it a "deviated septum," and that deviated or crooked septum can be straightened during a rhinoplasty.

Most commonly, the deviation of the septum cannot be seen from the outside of the nose.  The deviation that obstructs the airflow is deeper inside the nose, where you can't see it.  This patient's septum was so bad that you could see it before surgery.


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rhinoplasty
current: Base
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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: Is This a Feasible Outcome for my Rhino?
Please see photo.  Should I be more conservative? I'm not too concerned about people knowing.
(Questioner submitted photos)

Dr. Denenberg's answer: Your changes are realistic in the right hands. I tried to improve on your morph.
You have a strongly projecting nose. "Projection" refers to how far forward, away from the face, a nose extends. See my "Web reference" link for the additional morphs I made for you.

When your nose comes closer to your face, it's important to also reduce the upper part of your nose, even above the bump, where your nose joins your forehead, just below your eyebrows. You did a good job of that on the morph. If that area is not reduced, you could end up looking like a Roman statue, too strong where the forehead meets the nose. 

The projection of the nose is controlled (mostly) by the two cartilages in the tip of the nose. The tip is the most difficult part of the nose to operate on, so it's mandatory that you see before and after photos of a doctor's other patients, to see whether he has been able to consistently achieve substantial reduced projections for his other patients. Doing good research by looking at photos will help you avoid being in the position of needing a revision.

 

Link to this question on RealSelf.com



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