• Rhinoplasty
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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: 7 weeks post surgery, nose still looks worse/the same. Should I consider revision?
I have read from many doctors on real self by 6-8 weeks 80% of swelling after rhinoplasty should have gone. I'm 7 weeks post op and nose looks slightly worse than before op. I had the procedure as my nose was wide and pointed before. When I smiled my nostrils flared out and upwards, the tip pointed dropped down pointed into my teeth, as well as the whole thing looking wider. Nothing has changed post op. Should I consider revision?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose still looks long to me
These photos don't show your entire face, and there are no *true* profiles, but it seems that one of the main changes you nose required was to shorten it, raising the tip upwards.

Unfortunately, the tip doesn't tend to elevate with time. I would much rather that my patients are nervous because the tip is too high at seven weeks, than they be nervous because the tip is too low.

To get a substantial elevation of the tip, you will probably need a revision rhinoplasty. Elevating the tip, even during a revision, is quite predictable, if the doctor is expert at making those changes during a revision, so you must see a doctor's before and after photos before you have 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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