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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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Questioner: Septo/rhinoplasty Consult?
Hello, I had a consult and CT scan showing I had a deviated septum. My surgeon had said if I cosmetically wanted to fix the tip of my nose, which has a deep cartilage split at the tip, giving the appearance of a "butt nose"...that it would be a couple of stitches when closing up. But I believe my nose turns up and the skin between the nostrils hangs, due to what I believe was terrible allergies and constant nose itching. What would be the best way to get a cuter shaped nose tip?
(Questioner submitted photos)

Dr. Denenberg's answer: Don't let that doctor operate on your nose!
Hi, BriC,

"A couple of stitches when closing up" pegs your doctor as someone who knows nothing about rhinoplasty. You must not let him operate on your nose.

Changing your "butt nose" requires complicated work on the tip of your nose, using advanced techniques that not all plastic surgeons understand.

Link to this question on RealSelf.com