• 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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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

"...you will not find a more knowledgable,
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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



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