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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
rhinoplasty
 
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Her long nose required elevating the tip, taking down a hump, and shortening the nose.  But she had another operation, too.  She had a chin augmentation, to make her weak chin appear stronger.

In a chin augmentation, an implant is placed in front of the jaw bone to bring the chin forward.  Bringing the chin forward at the same time as making the nose smaller puts the face in better balance.  The profile gets an improvement that the rhinoplasty alone couldn't achieve.


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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 Considering Having Rhinoplasty. However I Am Unsure As to What Results I Can Expect?
I am considering having rhinoplasty. I am currently researching doctors in the area to find which ones seem to do the best work. I would like to know what type of results I can expect in order to go in informed when I speak with them. I am not looking for a dramatic makeover, just some refining of the nostril area. Can I do this with just a tip plasty?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose requires expert work on the tip. Be certain to see before and after photos
Hi. In many noses, work on the tip is most of the work that is done, so in your case there isn't really a meaningful difference between a "tip plasty" and a "rhinoplasty." See my "Web reference link for some morphs of your before and after photos.  You have strong tip cartilages that show left and right prominences on your tip. The cartilages also make the columella, the piece between your nostrils, droop some, and they hold the tip of your nose out away from your face. 

Your nose requires real expert work on the tip to correct these features. It's crucial that you see before and after photos of the patients of the doctor you are considering, where wide or prominent tips were corrected. This is not something that every plastic surgeon can accomplish, and a diploma won't give you the answer -- only seeing the doctor's other patients will tell you if he has the skill.

Link to this question on RealSelf.com