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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
revision rhinoplasty
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.
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Questioner: Is it common after Rhinoplasty the tip of nose to drop?
I got rhinoplasty 3 months ago and 3 weeks post op the tip of my nose dropped loads and is getting worse and which is giving me my bump back again, I'm ment to be getting revision on it but people have went and have got worse so I'm worried, is it normal for it to drop or is there something the surgeons not done right?
(Questioner submitted photos)

Dr. Denenberg's answer: Uh oh, I'd be worried, too.
It's true that three weeks is very early for healing of a nose, but in the next many months, most of the changes have to do with decreasing width: the tip getting smaller, the bridge getting narrower. However, in my experience, if the *length* of the nose is the problem, the length does not shrink as the swelling subsides. The tip does not climb up. In fact, we typically expect a tip to drop with time, so, for example, I'm not unhappy if my patients are nervous because the nose looks *too short* at first, because I know the nose will lengthen a little bit with time.

Still, there's nothing to do right now but wait, and as the water leaves your nose and the overall nose gets smaller, the length may bother you less.

However, one of the most common problems that I see in my revision patients is that the previous surgeon did not shorten the nose enough. It's not easy to do, and most doctors can't get it accomplished well. If you do wind up looking for a revision later, be certain that you've seen before and after photos that show excellent shortening of the nose.

Link to this question on RealSelf.com



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