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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 is very kind and honest and
made me feel confortable from the first moment. "
See all of Dr. Denenberg's reviews on

 

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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.
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Questioner: My plastic surgeon doesn't use drain tubes after Neck Lift/Facelift. Is that okay?
(Questioner submitted photos)

Dr. Denenberg's answer: Drains after facelift
Deb,

This is a question that cosmetic surgeons discuss regularly and you will find many different opinions. Most feel drains do help minimize seromas (fluid collections under the skin) and improve the recovery process. Some surgeons use fibrin sealants which also work well. Others just depend on dressings and pressure.  In general, however, if your surgeon is experienced with facelifts and getting excellent results, then whether or not they use drains should not be an issue.

Best of luck with your procedure-

Link to this question on RealSelf.com