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Steven M. Denenberg, M.D.
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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.


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Uneven nostrils after 2 rhinoplasties. What can be done?
After two rhinoplasty surgeries. my daughter's nostrils are uneven, and she is self conscious. Her nostrils were not uneven prior to rhinoplasties. To correct them, would she require a third rhinoplasty with general anesthesia? Would it be as hard a recovery? What can be done to fix them?
(Questioner submitted photos)

Dr. Denenberg's answer: Maybe, maybe, she could have a revision of only the columellar scar
In general, that view, the bottom view, is the least important view after a rhinoplasty (or before), because it's a view that people generally don't see. Achieving excellent symmetry in that view is unrealistic, and unnecessary.

Having said that, however, it seems that much of the asymmetry is caused by a bulge of scar tissue on her left side, at the location where perhaps the incision was made for an open rhinoplasty. Maybe revising that scar would help meaningfully, with no risk to the entire rest of her nose.

Link to this question on RealSelf.com