Pay attention to the white dots on the tip of the nose and to the more subtle
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
The base view of her nose, view 9,
also illustrates the narrowing of her nose quite well.
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What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)
Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.
Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.
I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!
Link to this question on RealSelf.com