• 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

"Dr. Denenberg has a very cautious, and highly intelligent
approach to his work, and his attention
to detail in my opinion is unsurpassed. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
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rhinoplasty
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current: Frontal
rhinoplasty
rhinoplasty

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.


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: Is my nose tip broken?
As a child I had a bad fall on my nose. Ever since it has gradually got worse over the years. I have trouble breathing from my left nostril and I have a poor sense of smell. I can feel a split at the front of the tip. Also if I squeeze my nose tip it feels springy. I'm not sure if this is related, but I suffer with nose bleeds alot too
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose isn't broken, but you must be very careful in selecting a surgeon.
The split and the springiness and the size of your tip are all related to the fact that the two cartilages that form the tip of your nose are fairly large and asymmetric. Your skin is thin, so it's easy to see, and even feel, the contour of those cartilages under the skin.

This all means that if you decide to have a rhinoplasty, you must be very, very careful about selecting the right surgeon. The vast majority of rhinoplasty surgeons do not have the skill and expertise to handle your tip cartilages, which cartilages pose a significant technical challenge.

When evaluating surgeons, you must insist on seeing before and after photos of their other patients. Look to see whether the doctor has been able to handle large tips like yours. If the photos only show profile views, like shaving off a hump, that's not good enough evidence for your situation. Generally, the three-quarter views show the tip cartilages best.

Link to this question on RealSelf.com



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