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Steven M. Denenberg, M.D.
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She has a prominent bifidity in her columella.  "Bifidity" means that you can see a dent between the two cartilages that make up the columella.  It's not such an uncommon finding.  She probably had it before her first operation, and it simply wasn't corrected during that first procedure.

In this view, you can see more of her nostrils in the before picture.  The nose was tilted up too much, and I attempted to lengthen it during the revision.  A longer nose shows less nostril from the frontal view.


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"...I am so thrilled with the results! "
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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: Am I a candidate for non surgical rhinoplasty?
So I've been considering rhinoplasty, but I am much more in favor of a non invasive non surgical procedure. I was wondering if I would be a candidate and benefit for a nonsurigical nose job
(Questioner submitted photos)

Dr. Denenberg's answer: Nope, nope, nope. No non-surgical rhinoplasty for you
Hi,
I'll throw my hat in the ring with the other physician posters who said not to have a non-surgical rhinoplasty.

Understanding non-surgical rhinoplasty is easy. Stuff is injected into the nose; the nose looks bigger. If you want your nose to look smaller, non-surgical rhinoplasty is the wrong approach.

In fact, non-surgical rhinoplasty is reasonable only in the very very rarest of cases -- usually after previous surgery, when a persistent dent that cannot be further corrected with surgery can be lifted with a tiny, tiny amount of filler, like 1/100 of a cc or so. It's a way to salvage a minuscule improvement when further surgery is not a good idea.

Also, in general, you shouldn't have a non-surgical rhinoplasty from a doctor who does not regularly do *standard* rhinoplasty. If the doctor *only* does *non-surgical* rhinoplasties, then he likely will recommend one to you when I wouldn't think it reasonable.

Link to this question on RealSelf.com