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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
revision rhinoplasty
 
Views of this rhinoplasty patient:

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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.


next view of this patient

"I would highly recommend traveling to Omaha to see him. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
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: What Can Be Done to the Tip of my Nose for Revision?
I feel like it still looks droopy and it sticks out and looks meaty on the tip! The part that's under the tip seems to be too meaty looking. I did a photoshop version myself to show what i mean by wanting fixed. Can this be done? How?
(Questioner submitted photos)

Dr. Denenberg's answer: Another maximum attempt at raising and narrowing your tip
Hi. It seems that the attempt at raising and narrowing your tip didn't work, or it didn't work well enough. The way I see your nose, it requires the very best effort at raising and narrowing that tip. See my "Web reference" link for a morph I made of your nose. There can be two main factors in your drooping tip. One, the cartilage might still be in a position to keep the tip of your nose wide and drooping. That would be good, because modifying the tip cartilages to raise and narrow the tip is one of the more predictable changes that can be made in a revision rhinoplasty. It would not be unusual for this to be the case, because raising the tip involves complicated work on the tip of the nose, something not every plastic surgeon can do. So perhaps your surgeon left the cartilages in a long, wide position, and another operation, addressing those cartilages better, can get you closer to your goal.

The other factor can be scar tissue: perhaps lots of scar tissue is making your tip look long and wide. The scar tissue can be addressed, by removing all that can be removed, but it's generally less predictable than working on cartilage.

When selecting a surgeon, you must be certain to look at his before and after revision rhinoplasty photos, to see if he has been able to make these kind of changes for his other patients. That's the only way you can reasonably research your doctor.

Link to this question on RealSelf.com



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