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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Views of this rhinoplasty patient:

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Unrelated to the other changes we discussed with his nose, he had a crooked septum that was obstructing his breathing.  The base view confirms that the septum was straightened during surgery.

You can also get a small hint of the nose's deprojection from this view.  Although the photos were taken at slightly different angles, the nose, having been deprojected during surgery, is shorter when measured from the tip back to the upper lip.  The tip is a little wider and less tented out, and the nostrils are wider and less stretched in the front-to-back axis.


next view of this patient

"...when I came back to remove the splint
I cried of relief and joy. "
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All views of this rhinoplasty patient:
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current: 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: Do I need a revision rhinoplasty?
I like everything about my new nose but the tip. Im 20 months post op and I'm not thrilled about the tip. It's very round and sort of droopy. Especially in pictures. At my last follow up, my doctor acknowledged that the skin underneath the nose was a little loose but even with the new procedure, there's a chance it'll still look the same way it does now. He claims there's no way to get rid of the skin. Thoughts?
(Questioner submitted photos)

Dr. Denenberg's answer: It doesn't look like loose skin to me.
I have to say, I've never seen a case where drooping at the bottom of the nose there is loose skin hanging down. It's either cartilage or scar tissue.

This far after surgery, if the nose is still too big, you're looking at a revision. There are a couple of pieces of good news for you, though. It appears, from these photos, that the size is the result of strong cartilages under the skin, and a revision where reduction in size is the goal is more predictable than some other changes we try to make.

I would try to elevate the entire tip of your nose -- that's key -- narrow the tip, bring the whole nose back closer to the face, lower the bridge to match the new position of the tip.

Link to this question on RealSelf.com