Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, large tip noses #10

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:

rhinoplasty 1: Right oblique	rhinoplasty 2: Left oblique	rhinoplasty 3: Right profile

rhinoplasty 4: Left profile	rhinoplasty 5: Left oblique	rhinoplasty 6: Right oblique

rhinoplasty current: Frontal	rhinoplasty 8: Right oblique	rhinoplasty 9: Left oblique

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Questioner: Can This Bad Revision Rhinoplasty Be Fixed?
It was supposed be simple revision ( I know no such thing) of droopy tip from profile . Front was pretty good. After revision it became worst from every angle. Bridge became crocked, there is a bump from 3/4 view and worst of all tip became longer and pointy. It has been 3 years and I can't get used to this unfamiliar look it gave me. Am I looking for more disappointment with another surgery? Willing to travel Anywhere
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose can likely be improved, much closer to your original goal.
Well, please tell everybody that if a doctor tells you that a revision will be "simple," you should run away at top speed. But going forward, one of your main complaints is that the nose is long, with the tip drooping. Even though we can't accomplish *everything* we want to in a revision, raising the tip of the nose is one of the more predictable changes, even in a revision, in competent hands. See my "Web reference" link for a morph showing your nose with the tip elevated.

The bump on the three-quarter view is caused by your nose being off center from the frontal view. Asymmetries like that are the most difficult features to correct in a revision, or even in a primary rhinoplasty. They can generally be improved, but not eliminated. The goal is to get a nose that you are happier with, more satisfied with, even if there are still some features that bug you or that you wish could be a little better.

Link to this question on RealSelf.com


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