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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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"I was extremely fortunate to have him
perform my primary rhinoplasty. "
See all of Dr. Denenberg's reviews on

 

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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: Would I be able to get a new nose that still fit my face?
I have always had so-so feelings for my nose. There will be days I absolutely despise it, and days I accept it for it's unique quality. People say it fits my face, and I agree with them, which is why I am inquiring to the professionals. Would I be able to get a new nose that still fit my face? I am drawn to the elegant look, and still want my nose to be fairly long, just not as extended out from my face, or bulbous at the tip. It is also quite wide. What can be done?
(Questioner submitted photos)

Dr. Denenberg's answer: It is possible to make the changes you describe, but ...
Hi,
But you need to be very careful in selecting your surgeon. The ability to expertly handle significant work on the tip of the nose, and decreasing how the nose extends from the face, is not something that every plastic surgeon possesses. You need to see your surgeon's before and after photos to see if he has been able to make for others the changes that you want to see for yourself.

See the video link for a simulation of reasonable and possible changes to your nose: I simulated narrowing the tip, reducing and narrowing the small hump, bringing the nose closer to your face, and leaving it long enough to be called "elegant."

Also, remember that profile views that show a hump reduction do not tell you anything about how the surgeon handled the width of the tip; you should see many different views, not just the profile.

Link to this question on RealSelf.com