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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
revision rhinoplasty
 
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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 happy that I cannot even put it in words ... "
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All views of this rhinoplasty patient:
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
rhinoplasty
current: Frontal
revision rhinoplasty
revision rhinoplasty

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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: Does the tip of my nose look too big?
I had a revision rhinoplasty about 14 months ago. The doctor added spreader grafts and a tip graft and brought my nostrils in a little bit. My nose still looks too wide and full at the tip. What do you think can be done to improve the look of my nose? It just seems very full to me. Thanks for your answers!
(Questioner submitted photos)

Dr. Denenberg's answer: Seems to me that the tip of your nose droops, besides being a little wide.
Hi,
I see the fullness that you describe, but to my eye, much of the "fullness" is that the tip of the nose hangs down more than you might like it. See the video link for a simulation I made of the changes that could be possible in a revision, if the surgeon is truly expert in shortening a nose during a revision.

Link to this question on RealSelf.com



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