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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
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.
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Questioner: Uneven nostrils after 2 rhinoplasties. What can be done?
After two rhinoplasty surgeries. my daughter's nostrils are uneven, and she is self conscious. Her nostrils were not uneven prior to rhinoplasties. To correct them, would she require a third rhinoplasty with general anesthesia? Would it be as hard a recovery? What can be done to fix them?
(Questioner submitted photos)

Dr. Denenberg's answer: Maybe, maybe, she could have a revision of only the columellar scar
In general, that view, the bottom view, is the least important view after a rhinoplasty (or before), because it's a view that people generally don't see. Achieving excellent symmetry in that view is unrealistic, and unnecessary.

Having said that, however, it seems that much of the asymmetry is caused by a bulge of scar tissue on her left side, at the location where perhaps the incision was made for an open rhinoplasty. Maybe revising that scar would help meaningfully, with no risk to the entire rest of her nose.

Link to this question on RealSelf.com



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