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

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The frontal view shows us that her nose was too short after her first operation.  We want to see just a bit of the nostrils from the frontal view, indicating that the nose is turned up attractively, but not too much.  I think we see more nostril in the before view on this page than is optimal.  She shows less nostril in the after view.

In this before picture, you can also see some of the irregularities along the dorsum as well as the prominent dent between the cartilages in her columella.


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All views of this rhinoplasty patient:
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
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rhinoplasty
current: Frontal
revision rhinoplasty
revision rhinoplasty

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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: Cost Approximation for Uneven Columella?
On the left (my right) you can see that the one side of my columella hangs approximately 3 millimeters lower than the other. I would like to even out my columella (raise the lower side to the higher). How much would this cost and how long I would need to wear bandages on my nose? Also, to even the columella out, would I need to cut off part of the columella or push the lower side higher? Explaining how one would go about this procedure would be very helpful! Thank you so much!
(Questioner submitted photos)

Dr. Denenberg's answer: Leave your columella alone
What you are asking for cannot be done with rhinoplasty. An attempt at a tiny correction of an isolated area of the nose like that would certainly create some new, more bothersome, problem elsewhere, or fundamentally change the size/shape/position of your tip.  All of these cartilages are connected to each other. 

Rhinoplasty isn't perfect enough, predictable enough, to make the kind of change that you are seeking.  I know, it'd be nice, but we just don't have it yet!

Link to this question on RealSelf.com



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