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

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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 Any Kind of Procedure for my Kind of Nose?
Theres a bit of cartilage at the base of my nose under my top lip which makes my nose and my profile longer (pic 1&3) Can anything be done about this? I think its because of this cartilage which runs from the columella to my bone which cause my nose to be pinocchio-esque. The Nasofrontal Angle is rather small around 100 degrees and in (2) you can see that the alar base is not in-line with columella base, its rather lower. From the front this makes my nostrils more pronounced (4).
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose mainly requires deprojection, bringing the tip back closer to the face
You have a strongly projecting tip, and otherwise many attractive features to your nose. Respectfully, I don't think it's the bone at the base of the nose that makes the tip projecting -- that bone is only rarely the culprit. It's almost always the length and strength of the lateral crura of the tip cartilages that provide the support and strength to overproject the tip. I made a morph to show what your nose can look like after surgery. You need a surgeon who can prove to you that he is expert in deprojecting noses; many, if not most, of the revisions that I perform relate to deprojecting noses that were inadequately projected during the primary operation.

Link to this question on RealSelf.com



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