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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Rounded tip, pollybeak and over-projection? Is it swelling or should I consider a revision?
I'm 4 months post op. My tip is very rounded and my nose appears to be over projected on three quarter view. Is this swelling, a pollybeak forming or just not a nice result? Should I consult with revision surgeons?
(Questioner submitted photos)

Dr. Denenberg's answer: Excess projection and fullness after rhinoplasty
Hi,
I'll try to be helpful, but for some reason I can't see the posted photos.

I suppose the rounded tip could be, as you said, swelling or a pollybeak or just not a nice result. Sometimes, if it's swelling, a steroid injection can help, but it's unlikely to help hugely. I don't see how projected your nose is, but probably the projection won' change much now.

De-projecting a nose involves advanced techniques on the tip cartilages, and most plastic surgeons don't have the training to make the changes with accuracy and predictability. Especially in a revision. If you consider a revision, you *must* see before and after photos of the doctor's other patients, with noses similar somehow to yours, so that you can see if he was able to accomplish for someone else what you want for yourself.

If you re-post the photos, I'd be happy to give you advice based on your specific situation. See the attached video and Web reference link for examples of changes that can be made in the right hands.

Link to this question on RealSelf.com