• 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).


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"Dr. Denenberg addressed all my questions
and concerns in a clear and detailed manner. "
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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 able to get a new nose that still fit my face?
I have always had so-so feelings for my nose. There will be days I absolutely despise it, and days I accept it for it's unique quality. People say it fits my face, and I agree with them, which is why I am inquiring to the professionals. Would I be able to get a new nose that still fit my face? I am drawn to the elegant look, and still want my nose to be fairly long, just not as extended out from my face, or bulbous at the tip. It is also quite wide. What can be done?
(Questioner submitted photos)

Dr. Denenberg's answer: It is possible to make the changes you describe, but ...
Hi,
But you need to be very careful in selecting your surgeon. The ability to expertly handle significant work on the tip of the nose, and decreasing how the nose extends from the face, is not something that every plastic surgeon possesses. You need to see your surgeon's before and after photos to see if he has been able to make for others the changes that you want to see for yourself.

See the video link for a simulation of reasonable and possible changes to your nose: I simulated narrowing the tip, reducing and narrowing the small hump, bringing the nose closer to your face, and leaving it long enough to be called "elegant."

Also, remember that profile views that show a hump reduction do not tell you anything about how the surgeon handled the width of the tip; you should see many different views, not just the profile.

Link to this question on RealSelf.com



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