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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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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: Is There a Way to Put a Very Slight Curve in my Nose Without Surgery?
I had a revision surgery 3 weeks ago. I was left with a too scooped nose so I wanted cartilage places to make it a little more straight with a slight curve. I feel that my nose is too straight now. Is it possible to get a slight curve without having surgery again?
(Questioner submitted photos)

Dr. Denenberg's answer: Revision rhinoplasty takes longer to show the final result
Hi, Eliza,

Three weeks is too early to judge the results of a revision rhinoplasty. Your nose will be changing and losing swelling for at least a year, more likely 18 months or so.

Also, revision rhinoplasty is so difficult, that it's rarely wise to operate to change anything "slightly." Every time you have surgery, some new feature will appear to bother you. My opinion is that you should back burner the idea of more surgery for at least a year or so.

Link to this question on RealSelf.com