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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: Rhinoplasty gone wrong? Nostrils not even
Help, I had surgery on the 18th of May. Right away I noticed my nostrils were not even. When I went back to my doc the following day after surgury and addressed this with him he said my nostrils were probably uneven before the surgery, which is not the case. What should I do? What do you think ? I am panicking because it is now the 20th and although I know my nose is still swollen I don't believe my nostrils will change. What do you think?
(Questioner submitted photos)

Dr. Denenberg's answer: Go back to your doctor again.
Asymmetric swelling can cause visible asymmetries that go away if it's truly only the swelling that's asymmetric.

But you're only a couple days after surgery! Your doctor is the one who knows what happened during surgery, and you're kind of stuck with him for support right now. Call him again for another evaluation/pep talk.

Link to this question on RealSelf.com