• 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

"I am so very astonished and pleased
with the result Dr. Denenberg produced for me. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
current: Right profile
rhinoplasty

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.


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: Can my Results Still Be Corrected or is It Not Worth the Risk?
Furthermore, Based on the Pictures What Can Be Done to Improve? Hi, I had an open rhino. about a year ago, I'm really unhappy with the results. I originally had a dorsal hump removed but the doctor put a whole bunch of grafts in my nose also. (I have oily med/thick skin and I think I still have shrinking/swelling left). However, it still looks droopy, long, wide especially when I smile or laugh. How do I find a good dr. that can fix my nose type, my last specialist surgeon had a great "record" but it obviously didn't cut it. Any info would help. Thanks.
(Questioner submitted photos)

Dr. Denenberg's answer: I agree your nose would probably improve if it were shortened
Even on a revision, shortening a nose by raising the tip can be one of the most predictable changes to make. See my "Web reference" link for a morph I made of one of your images.

Shortening a nose like that requires advanced work on the tip cartilages, so be sure your next surgeon has shown you before and after photos of other patients of his whose noses were shortened attractively. Seeing photos is your only way of checking out a surgeon's skill.

Link to this question on RealSelf.com



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