Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, combination noses #7

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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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"...his results are consistent and incredible. "

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All views of this rhinoplasty patient:

rhinoplasty 1: Right oblique	rhinoplasty 2: Left profile	rhinoplasty 3: Left oblique

rhinoplasty 4: Right oblique	rhinoplasty 5: Left oblique	rhinoplasty current: Right profile

rhinoplasty 7: Base

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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: I'm Looking into the Possibility of Plastic Surgery. Any Advice Based on my Picture?
I'm looking for any recommendations. I've always been self-concious about my looks, specifically about my nose and lower jaw/chin. I'm looking for outside opinions as what would help me look more attractive/symmetrical and rough estimates. I'm currently located in Central PA. Thanks in advance!
(Questioner submitted photos)

Dr. Denenberg's answer: Bring the nose closer to the face, take down the hump, strengthen the chin, and ...
Hi, I'll tell you what most of my patients would request with a nose and chin like yours. See my "Web reference" link for a morph of your profile. I brought the tip of your nose back closer to your face, and brought your chin out farther forward. Those movements tend to put the profile into what most people feel is better balance. You might feel so, too. Then, I took down the hump along the bridge of your nose. I also raised the tip just a tiny amount.

Bringing the nose tip closer to the face, what we call "de-projecting" the nose, involves complicated work on the tip cartilages. You must be sure you see before and after photos of your surgeon's other patients, showing that he was able to achieve for them what you want for yourself. That's the best way to do research when deciding on a surgeon.

Link to this question on RealSelf.com


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