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Steven M. Denenberg, M.D.
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She has excess skin on her upper eyelids, but the real problem is that her eyebrows had lowered in position from where they were years ago.  The correct operation for her was to elevate the eyebrows.

If upper eyelid surgery is performed when the real problem is the eyebrow position, the eyes won't look quite right after surgery, so it's important to diagnose the correct condition before deciding what to do.


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"He is a perfectionist and will honestly give you your best nose. "
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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: Would a tip plasty be enough to correct the bifidity of my nose and make a more attractive nose?
Would suturing the cartilages make the nose more projected? I don't want it to be more projected. Would fixing the bifidity allow the flow from bridge to tip to be more smooth? As now it looks like it is all in separate pieces. I hate these indentations and just want them gone and bring harmony to my face.
(Questioner submitted photos)

Dr. Denenberg's answer: Indeed, the tip of your nose can be made less prominent with rhinoplasty
Work on the tip of a nose like yours isn't all suturing cartilages: some cartilage would be removed, some re-positioned. It doesn't have to increase the projection of the tip. In fact, it can *decrease* the projection of the tip, or leave  the projection alone, depending on what needs to be done and your preferences.

Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.

Link to this question on RealSelf.com