• Rhinoplasty
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rhinoplasty FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Rhinoplasty -- combination noses Table of Contents:

These patients' noses had a combination of features to correct: for example, a long nose with a prominent hump, or a projecting nose with a wide tip.

Click on a small picture to see larger images of that patient.
Then, you may use the "Go to Patient" area in the navigation bar at left.

rhinoplasty
Patient 1
rhinoplasty
Patient 2
rhinoplasty
Patient 3
rhinoplasty
Patient 4
rhinoplasty
Patient 5
rhinoplasty
Patient 6
rhinoplasty
Patient 7
rhinoplasty
Patient 8
rhinoplasty
Patient 9
rhinoplasty
Patient 10
rhinoplasty
Patient 11
rhinoplasty
Patient 12
rhinoplasty
Patient 13
rhinoplasty
Patient 14
rhinoplasty
Patient 15
rhinoplasty
Patient 16
rhinoplasty
Patient 17
rhinoplasty
Patient 18
rhinoplasty
Patient 19
rhinoplasty
Patient 20
rhinoplasty
Patient 21
rhinoplasty
Patient 22
rhinoplasty
Patient 23
rhinoplasty
Patient 24
rhinoplasty
Patient 25

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: Could You Explain How the "Scoring" Technique Works in Rhinoplasty?
Hello,I have a dorsal hump on my nose, and when smiling a slightly bulbous, droopy and boxy tip. My surgeon, an ENT, is going to perform endonasal/closed rhinoplasty. For my tip he has suggested minimal changes with sutures and scoring. I have thin skin, so any resections of cartilage or grafts will show through. I wanted a more refined tip, but I am thinking that scoring of the cartilage will make for a bigger bulkier appearance of the tip. If I am wrong please explain how scoring works Thanks!
(Questioner submitted photos)

Dr. Denenberg's answer: Scoring alone can have disappointing results
Hi, Sissi,

In my experience, scoring alone is not adequate for reducing the size of a bulbous, droopy, and boxy tip. The rationale is that by making a series of scratches, or cuts that don't go through-and-through the cartilage, you can weaken the cartilage to fold over somehow and look more narrow. But it's not predictable, or very controllable. Also, it can disturb the cartilage enough that in the not-so-unlikely event that you would seek a revision, the scoring of the cartilage can put a limit on the amount of improvement the revision surgeon can make.

And in the case of *shortening* a nose, I just don't think it can be done at all by scoring.

Did your doctor show you lots of before and after photos of his other patients where he made attractive changes in the width and position of the tip by using scoring? If not, you should stay away.

Link to this question on RealSelf.com