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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Rhinoplasty -- revision noses Table of Contents:

These patients all had a previous rhinoplasty. They came to Dr. Denenberg to try to improve on the results of the first operation. A second-time rhinoplasty is called a revision rhinoplasty.

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revision rhinoplasty
Patient 1
revision rhinoplasty
Patient 2
revision rhinoplasty
Patient 3
revision rhinoplasty
Patient 4
revision rhinoplasty
Patient 5
revision rhinoplasty
Patient 6
revision rhinoplasty
Patient 7
revision rhinoplasty
Patient 8
revision rhinoplasty
Patient 9
revision rhinoplasty
Patient 10
revision rhinoplasty
Patient 11
revision rhinoplasty
Patient 12
revision rhinoplasty
Patient 13
revision rhinoplasty
Patient 14

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: I'm trying to understand my surgeon's operative report in order to understand what was and wasn't done. Please help?
As the photos demonstrate, my primary rhinoplasty was not successful in any way, shape, or form. Since acquiring my surgeon's operative report, I've been trying to make sense of the medical terminology in order to understand what was done to my nose during my operation... Thus educating myself. I want to fully understand as I navigate my revision consults. I keep telling people that the "tip wasn't touched at all," but aside from that, could someone please help me interpret the report? (Photos).
(Questioner submitted photos)

Dr. Denenberg's answer: It doesn't look as though much was done to your tip.
The report says "a portion of the lower lateral cartilages" was removed. That *can* result in a tip that is less wide, or less projecting, but it's the rare, rare tip that will respond completely to a simple removal of some of the tip cartilages as described. Perhaps your tip requires much more advanced work to change it's size and shape.

If you are seeking a revision, be very careful. Revision rhinoplasty is far, far more difficult than a first-time rhinoplasty, and even in a first-time rhinoplasty, most plastic surgeons are not expert enough to handle more difficult tip structures. You must see before and after photos of a doctor's work before deciding whether to use him for your revision. See the attached video and the Web reference link for examples of the changes that are possible in expert hands.

Link to this question on RealSelf.com