• Rhinoplasty
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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).


next view of this patient

"He is communicative and down-to-earth. "
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All views of this rhinoplasty patient:
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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: Would I be a good candidate for rhinoplasty?
If so, would it be a complicated procedure? What kind of improvement is reasonable to expect? Apologies for the radiator in the background.
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, of course you're a good candidate
If I were able to demonstrate on a computer the kinds of change that I would recommend for your nose, I would lower the hump, and bring the entire nose, including the tip, back closer to your face.

Making those changes would make the nose look longer, though, so we'd raise the tip of your nose, so the nose doesn't look too long after surgery. 

It's hard to make changes, however, on photos this small. If you post larger photos, it'd be possible.

And yes, it would be a complicated procedure, because of the myriad changes that are on the list of things to do.

Link to this question on RealSelf.com



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