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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
Views of this rhinoplasty patient:

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Okay, what can we see from this view?  Her nostrils appear to be about the same, so we didn't change the length of her nose significantly.  We know from the other views that we removed a hump, and perhaps we can see a little of that from the difference in the shadowing along her dorsum between the before and after pictures.

There are two changes that we can see here.  The tip was narrowed, so if you look closely, you'll see that the prominences of the tip cartilages were reduced, and you can barely see the improvement in the contour of her columella.


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All views of this rhinoplasty patient:
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current: Frontal
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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



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