• Rhinoplasty
  • Other noses:
rhinoplasty FacialSurgery.com
Steven M. Denenberg, M.D.
See our office policies during the Covid pandemic.
rhinoplasty
 
Views of this rhinoplasty patient:

Image size is small
show larger

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

"Dr. Denenberg is fabulous! "
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: I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing. 

Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.

I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.

Link to this question on RealSelf.com