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

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In these photos we see another clue, that his nose is over-projecting.  In the after photo, draw these two imaginary lines: a mostly-horizontal line drawn along the base of his nose, and a line drawn along the skin from the base of his nose down to his upper lip.  Those two lines meet at a sharp angle.  In the before picture, however, they don't.  The line that traces the skin of his upper lip curves forward to meet the bottom of his nose in the before photo.

If you grab the tip of your nose and pull it forward, making your nose more projecting, your upper lip skin will do the same thing.  When the upper lip skin pulls forward like that, we call it "tethering of the upper lip," and it's usually an indication that the nose is a projecting nose.

The rhinoplasty section of the Surgery tutorials contains a chapter that discusses the phenomenon of upper lip tethering (the surgery tutorials contain explicit photographs taken during surgery).


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current: Right profile
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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's the least invasive procedure to correct the bump on my left nostril?
The bump has gotten worse over the years. It feels as though the cartilage cracked. I can kinda push down on the bump and put it "into place." I'm not looking for the perfect nose. Ihave a deviated septum and my nose sways to my left. Again, my nose doesn't have to be perfect...I'm only interested in the least evasive procedure to correct or smooth this bump on left nostril area.
(Questioner submitted photos)

Dr. Denenberg's answer: There's no tiny operation to fix the bump
Hi,
That "bump" is one of the two cartilages that make up your tip. There's a bump on the other side, too, but it's smaller.
In order to minimize the bump, those cartilages need to be modified, and that's a rhinoplasty. You need an experienced surgeon with excellent before and after photos. Many plastic surgeons don't have the skill to make an accurate correction of your "bump," because it has to do with modifying those tip cartilages, somewhat of an advanced technique, in my experience.

Link to this question on RealSelf.com



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