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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.


next view of this patient

"When I look in the mirror,
I am in disbelief at how natural it looks ... "
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

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.


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: I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing. 

Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.

I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.

Link to this question on RealSelf.com



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