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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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
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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: What is Wrong? What Should I Do Next? Revision Rhinoplasty 21 Months Ago?
My initial operation left me being unable to breathe through my left nostril. My nose looks ok from profile but facing on, very wide and a small piece of cartilage??is poking out mid bridge on the right side! Should my nose be this wide after grafts? Initially my nose was slim with a bump. I would be grateful for some advice. Thankyou
(Questioner submitted photos)

Dr. Denenberg's answer: That bump can be removed, and your nose might benefit from a profile adjustment, too
I see the areas that you complain of. If you have grafts in the nose, and it is hard cartilage that is causing the bump on the right side and the excess width, it can be predictable to narrow the nose by removing or adjusting the offending graft. You probably also have some scar tissue under the skin that could be trimmed. See the Web reference link for a digital modification of your photo showing the improvements.
I personally think your profile could be made more natural as well. The tip of your nose is projecting forward, beyond the line described by the bridge of your nose. I'd like to see the tip of your nose closer to your face, and the very bottom of the nose tucked up a small amount to decrease the amount of the inside of your nose that is visible from the side view. I made a modification of that view as well. Bringing the tip of the nose back closer to the face is one of the most predictable changes in revision rhinoplasty, in competent hands.

Link to this question on RealSelf.com