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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
revision rhinoplasty
 
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After an unsatisfactory rhinoplasty, it's important to wait an entire year before attempting a revision.  The nose heals by making scar tissue under the skin, and with time that scar starts to soften.  After one year, the scar has softened enough to allow a competent surgeon to risk going back inside to take a look and see what can be done.

If a revision attempt is made too early, even to try for only a small change, the firm scar will block the surgeon's efforts, and further inadvertent damage to the appearance of the nose can result.


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All views of this rhinoplasty patient:
revision rhinoplasty
revision rhinoplasty
rhinoplasty
current: Right oblique
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty

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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What is the best filler to correct a too sloped/curved nose (after rhinoplasty)?
I had a rhinoplasty ten+ years ago. While I am happy with my nose, it is very ski slope, which is very cute but I feel it would be nicer if it were just straight and the bridge slightly thinner (it used to be slightly raised so it's already great). I also feel I have a slight amount of excess skin each side of the bridge, which could be absorbed. I think this can be done with a filler and is a fairly easy procedure. Any advice on which injectable? Or any other advice?
(Questioner submitted photos)

Dr. Denenberg's answer: Don't do it.
Sorry, I don't really mean to be oppositional but...

Your nose looks great. The "slope" is so slight that it's all but imperceptible. The injection wouldn't make the bridge thinner, it wouldn't help with the "excess skin" on the sides. It would only harm your nose. It can't be controlled well enough to both reduce the slope and not cause a bump. It would be asymmetric and make your nose look crooked from the front. Whenever you use the term "slightly" to describe something wrong with a nose, that means that the nose shouldn't have any treatment. And finally, nothing on the nose is "easy," even just injecting filler.

Link to this question on RealSelf.com



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