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
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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Is it good to get a rhinoplasty done by a doctor that uses computer imaging than one does not?
i have been reading dr in tx that uses this technology in the surgery room. is it necessary to get an optimum out come with out it?
(Questioner submitted photos)
Dr. Denenberg's answer: Don't select your doctor based on whether he uses imaging, But ...
Computer imaging can be very, very helpful in rhinoplasty. It's helpful mostly so that you can communicate better to your surgeon what you want to change, and by how much you want to change it. I use imaging on almost every rhinoplasty. It's useful to show the patient how much change is possible, but even more, it's useful to me because I can understand even better what bothers the patient and what our goal should be.
It's best if the doctor runs the program, so you can continually address different areas and make changes. It's not useful to you as the patient if the nurse makes an unrealistic perfect morph that you don't get to modify or bring into the area of realism.
Having said all that, don't reject a doctor for not using imaging, **as long as he has excellent before and after photos**, but understand that without imaging, it might be harder for you to communicate to him accurately what you want.
Link to this question on RealSelf.com