• Rhinoplasty
  • Other noses:
rhinoplasty FacialSurgery.com
Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
Views of this rhinoplasty patient:

Image size is small
show larger

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

"I am immensely pleased. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
current: Base

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: Can this nose be fixed?
I need a seriously talented surgeon to do my third and hopefully final rhinoplasty. I need a grand slam and I will travel anywhere if I can find a surgeon who can perform these multiple techniques. I need someone who can: 1. Decrease nostril width 2. Decrease projection 3. Tip reconstruction using donor cartilage 4. Lengthening of the nose I don't see raising the bridge as the solution to avoiding having to decrease projection. Referrals welcomed also.
(Questioner submitted photos)

Dr. Denenberg's answer: You may not need all of the techniques/changes that you listed
First of all, I agree that, from these photos at least, it's not at all clear that you need to have your bridge raised. The "profile" shot isn't really a profile, because the camera is too high and is looking down at your face, but it appears that the tip of your nose has very strong projection, and bringing the tip substantially back closer to your face will make the relationship between the tip and the bridge much better, without raising the bridge.

Then, a significant de-projection of the tip often can make the nose *appear* longer, so you might not need as much lengthening as you thing you might. 

It's also not clear that you'd need donor cartilage to help the tip. Often, even after previous surgery, modifying the cartilage that is still there is all that is needed.

See the attached video and Web reference links for some ideas.

If we had a pure profile, maybe a morph could be make to illustrate how deprojecting the tip also helps both the bridge and the length.

Link to this question on RealSelf.com



iPhone App