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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What steps would need to be taken during my rhinoplasty?
I think I have a unique nose, so I don't necessarily just want the bump gone but I also want the tip to be lengthened. What steps would be taken during the rhinoplasty and what is a possible outcome for my nose?
(Questioner submitted photos)

Dr. Denenberg's answer: I'm not so sure about lengthening your nose
It seems to me that the tip of your nose is strong in its forward projection away from your face, so during the rhinoplasty it might be good to bring it back a little closer. Then, of course, the bump would be removed.

When you bring the tip closer to the face, it makes the nose *look* longer, and also, when a bump is removed, it tends to make the nose *look* longer, and the angle that the bottom of your nose makes is not extremely high at all, so I wonder whether you would have to have your nose lengthened at all! Techniques to lengthen the nose are not as predictable as other changes we like to make, so I like to avoid them if possible.

From the frontal view, it looks as though your tip is quite wide, and narrowing the tip could be important, too. You sent profile and frontal views, but it's the three-quarter views, also called oblique views, that show the width of the tip best.

Finally, all due respect, your cropping didn't even leave all of your nose in the photos! It helps to see the entire nose.

Link to this question on RealSelf.com



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