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

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Pay attention to the white dots on the tip of the nose and to the more subtle white highlights on the nose in between her eyes.  Those dots and highlights are reflections from the flash.  The white dots on the tip are just a bit higher in position in the after picture, indicating that the tip of the nose was elevated during surgery.

In the after picture, the white highlights on her nose between her eyes flow down onto the nose a small distance, allowing you to see that her nose is narrow in the mid-dorsum.  In the before picture, you see less of those highlights flowing down the nose, because the before nose is wider and less angular.

The base view of her nose, view 9, also illustrates the narrowing of her nose quite well.


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All views of this rhinoplasty patient:
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current: Frontal
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Questioner: My nose looks like it's cut in the middle, and looks like an extension?
From the picture you can tell that the surgeon made a mess. Looking at the picture, do you think a surgery is necessary?
(Questioner submitted photos)

Dr. Denenberg's answer: No fillers, please! But I believe improvements can be made.
Hi,

I know it's just one photo that you posted, but there are generally ways to improve the areas that you complain about in a revision rhinoplasty. 

The "dents" can often be filled in with cartilage grafting, and they can be made further inconspicuous by lowering prominences of bone next to the dents.

Then, I don't know whether this bothers you, but the tip of your nose can be raised, too. Whenever a nose is a little smaller, the bothersome features often are less noticeable. I shortened your nose in my morph.

My guess is that the doctor who recommended fillers or fat grafting does not perform revision rhinoplasty. Respectfully, I just think that's not a good solution for what I see in your photo.

Link to this question on RealSelf.com