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

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The frontal view shows the narrowing of the wide area where her hump was, and the elevation of the tip of her nose after surgery.  We can see a glimpse of her nostrils in the after picture; they were hidden in the before picture by her drooping tip.

One way to evaluate the shortening of the nose from the frontal view is to pay attention to the two white dots on the tip of the nose.  Those white dots are reflections from the flashes.  Compare the white dots' positions in the two photos above.


next view of this patient

"I always thought that having a beautiful nose
would make me feel better,
but I could never imagine that
it would change my life. "
See all of Dr. Denenberg's reviews on

 

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All views of this rhinoplasty patient:
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current: Frontal
rhinoplasty
rhinoplasty

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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: I am so unhappy with my rhinoplasty results and don't know what to do.
I am 4 weeks post op and had some grafting added into my left nostril. I wanted the tip raised and feel that it is low, droopy and overall just unflattering. My oblique view is so upsetting. I am seeing the surgeon in a week and am not sure what if anything can be done to raise the tip at this point. Can this be fixed with a subsequent surgery? What would that entail? Is there anything to do in the meantime. I'm devastated. Thanks in advance for your input.
(Questioner submitted photos)

Dr. Denenberg's answer: The good news is that it *can* be fixed with subsequent surgery
I agonized briefly about how to respond to your question. Any doctor would tell you, accurately, that four weeks is early in the healing period, and lots will happen before your nose is done healing. But ...

I'll tell you what I'd tell my sister. It's just very unlikely that the tip of your nose will elevate during the healing process. The nose will get narrower along the bridge and at the tip, and the height of the bridge will probably lower some, too, and all those changes will make your nose look smaller overall, and that will probably make you more and more comfortable with your appearance.

But the tip just doesn't tend to elevate with time. I would much rather that my patients are nervous because the tip is too high at four 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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