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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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"He strives to do the best possible work he can. "
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All views of this rhinoplasty patient:
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current: Frontal
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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: By looking at these photos of my nose do you think I would be a good candidate for a non surgical nose job?
And if so what has to be done is it possible to make it look smaller because I don't want it to look bigger then what it is
(Questioner submitted photos)

Dr. Denenberg's answer: Non-surgical nose job? Oh god, no.
A non-surgical nose job:
1) can **only** make a nose larger
2) is almost *never* a good idea.

I know there's lots of writing about non-surgical nose jobs out there, but really, 99.99999% of it should be ignored.

You have a hump and a tip that projects strongly forward from your face. Those features are correctable only with a surgical rhinoplasty.

Hope that helps!

Link to this question on RealSelf.com