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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What's happening to my tip after rhino? Thin / medium skin, rhino performed by renowned surgeon. Should I seek revision?
Got closed septorhino 10 months ago. According to a doctor small hump removed, crooked nose straightened, tip lifted and refined, no alar base reduction. Profile is accetable, but too projected to my taste. But the front... What I am left with is just beyond my imagination. Please tell me if this is still swelling on the tip? It's bigger and droopier than before rhino, on one side there is big ball, which i can press but it will reappear. Nose still if not more crooked!! I am really depressed.
(Questioner submitted photos)

Dr. Denenberg's answer: I wouldn't expect compressible swelling this long after surgery
While there is usually still *some* swelling 10 months after rhinoplasty, any remaining swelling would likely be soooo subtle -- not something that you can visibly compress and have return. That's more likely to be a more permanent feature, perhaps some tenting of the skin over or across two prominences of cartilage.

To raise the tip would require a revision rhinoplasty. Issues of the width of your tip, the projection of the tip, and the remaining asymmetry could be addressed at the same time. 

Elevating the tip, even during a revision, is quite predictable, if the doctor is expert at making those changes during a revision. The other changes you are requesting can be even more complex to achieve, so you must see a doctor's before and after photos before you decide on a surgeon for the operation. See the attached video and Web reference link for examples of what can be done in the right hands.

Link to this question on RealSelf.com



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