Dr. Denenberg has been practicing facial plastic surgery in Omaha, Nebraska, for thirty-eight years. He did his residency training at Stanford University, and has a degree in physics from Harvard University. Dr. Denenberg has been selected as a Castle Connolly national Top Doctor every year since the selection process began in 2001.
- We offer a 40% discount on the consultation fee for patients who contact us through RealSelf.
--Complete rhinoplasty. Complimentary detailed consultation, online if you wish.
Wow! I love my nose so much. It turned out better than the morphs. This took all my life to be able to trust a surgeon to do the surgery and it finally happened. I only wish I had found him sooner. After lots of research and some critical thinking, I choose Dr.Denenberg! It was a big trip from Canada to the United States and I would do it again in a heartbeat. From his wonderful, caring staff to him, there couldn't be a better team. They know they are changing lives for the better with their work and it shows in their approach and results. Much love and appreciation to Dr. Denenberg
The Denenberg office and people are the most down to earth, caring, thoughtful group you can imagine when going into a procedure like this. It is so obvious that they are only thinking about you and the best outcome. This is not turn and burn place but detail oriented and so much specifics on the procedure and the patient's wants and realistic outcomes. Thank you!
My experience with Dr. Denenberg and his entire team far exceeded anything I ever thought it could be. Everyone made you feel like you were their only patient, in fact, I was the day of my procedure. And when you're already anxious, that's a great feeling. This is a place of warmth and sincere honoring of the work they do. They aren't trying to boil the ocean and run patient after patient through a system. They took their time, and they were sincerely interested in not only a perfect outcome but a remarkable experience from start to finish. There is world-class mastery in Dr. Denenberg and his entire practice. There are no words to express how fully I would recommend them to anyone. They are really, really great. S. Almond
Once again, Dr. Denenberg has used his incredible skills and talent to perform another life-changing revision rhinoplasty! He is very patient and kind and takes the time to explain everything and manage expectations. I gave my revision rhinoplasty procedure 8 years of consideration from the time I first consulted Dr. D. before moving forward. The only regret I have is not having it done sooner!The staff is very professional and made me feel very comfortable with my procedure. Dr. Denenberg is very skilled with bulbous noses and I feel so grateful that he was able to give me a "normal" looking nose after all of these years!! :-)
After a bad rhinoplasty I was a bit lost, trust between me and my surgeon wasn't there so I reached out to Steven for a consultation and to ask questions he helped me understand everything that had been bothering me of his own back I wish I could have had a surgeon like this to begin with a genuine person who wants to help.
After a sub-optimal outcome from a previous surgery, I was hesitant to try again. I spent years saving my pennies, and researching potential surgeons. I came to the conclusion that Dr. Denenberg is the best there is. ...and wow, I was right. Revisions are challenging, and my nasal structure was a mess of scar tissue. Dr. Denenberg was able to achieve the best possible outcome for my particular face. I no longer obsess in the mirror. Now, I focus on my day instead.When we look at someone's face, millimeters matter. Dr. Denenberg has invested decades studying not only the surgical techniques, but also the subtle ratios, angles, and optical illusions that contribute to aesthetic perceptions. I am so glad I chose the right surgeon this time. Without any hesitation, I can wholeheartedly recommend Dr. Denenberg to anyone considering a procedure. He did great work for me, and I know he will do great work for you.
I have always had issues with my nose. My deviated septum caused breathing difficulties for most of my life which made my allergies even worse The shape of my nose didn’t match my face, which affected my confidence. I sought Dr. Denenberg who specializes in nose surgery and found that the process of scheduling a consultation and surgery was not lengthy at all. He listens to your wishes and does his very best to make them a reality. I felt very confident that he would take care of my nose. It has been over four months since my surgery and everything is healing quickly with no pain or difficulties. I am very happy with the results! I feel much more confident than before, I can breathe better, and I take great care of my nose while it heals completely.
I was looking for a few years for a doctor that I could count on to do my nose since I’m very picky. When I saw Dr. Denenberg’s before and after photos, I noticed that some of the pictures were very old, so I understood that he had many years of experience. I contacted his office, and his staff was very accommodating with all of my requests. I flew all the way from New Jersey to Nebraska for my consultation and procedure, and that was definitely the best decision I ever made! Dr. Denenberg addressed my concerns and was very honest about my expectations. The recovery was very easy, and I am very happy with the results. I will definitely consult with Dr. Denenberg again if I am considering any other procedures in the future.
I am a 59 y/o Female who had wrinkles and bags under both eyes. I had bags under my eyes my whole life and they always bothered me. The chemical peel worked wonders at getting rid of the under eye problem. My upper eye lids were drooping and the upper eyelid blepharectomy took care of that problem. My chin was sagging on the sides which was totally resolved with the face lift. When I returned to work being gone for 2.5 weeks a coworker told me she thought I looked 20 years younger. The only remaining sign of the surgery on return to work was some pinkness under my eyes which was covered up with makeup. Dr. Denenberg and his staff were all amazing and gave excellent care to me. The procedure was not painful just uncomfortable. Tylenol covered it. I would strongly recommend him for your facial surgery. He is a compassionate and caring provider who listens to what you say and answers all your questions and is very supportive. Great experience and outcome!
I had a primary rhinoplasty on 14 nov 2018. I was super nervous about the whole thing. Dr denenberg was great! The staff were all great too. Before the surgery if had questions, I'd email and they'd promptly respond. The day of surgery went well. The crna did very well calming me and making me less nervous. The nurse and the one who helped (maybe a student?) were very nice too. The 7 days before splint came off was great. Pretty much no pain with minimal swelling and very minor bruising. Today I got my splint off and while I know it's still swollen, I'm so happy with the results. He told me what he could do and he did it. I love my new nose so much! He's friendly, professional, great at his job and I'm so glad I chose him for my surgeon. From the initial consult until the very end, he took his time and made me feel like my questions were important. He made me feel important. He knew exactly what I wanted. He has a great bedside manner and man, can he make a nose look good! I'll post before and afters in a couple of weeks. Ahhh!! I'm so happy. I actually feel pretty. Updated on 22 Jan 2019: This is same day as the splint removal. (7days post op) So there was still a lot of swelling present. Will update at 6 months post op. :) You can definitely tell the difference most in the profiles and 45s.
...but you'd certainly need an in-person exam by someone who's expert enough to be able to figure that out for you. If your surgeons say no more can be done, then don't push them into doing something -- it won't work out well. Get another opinion. What could the answer be? Maybe moving the bones, adjusting the graft, some other modifications, maybe there are other parts of the nose you'd like to change as long as you're having another operation. But the bottom line is that you can't know without another visit. And it seems pretty clear that a surgical solution would be beyond the skill of the average rhinoplasty surgeon, so be careful before shopping it around.
In a "non-surgical" rhinoplasty, filler is injected into the nose. When you put something *in*, the nose gets *bigger*. Wider, longer, more projecting -- something along the lines of *bigger*. You can't make any measurement *smaller* by putting something *in*, and you want the length of the nose to be smaller. And the filler can't push anything up; it just sits where you put it. It doesn't do any work. And even if it could, the length of your nose, the droopiness of the tip, is controlled by the size and position of the two cartilages that form the tip of your nose. They won't allow the tip to come up unless they are modified, and that's a rhinoplasty. Everything in rhinoplasty, like in woodworking, or orthopedics, is supposed to make mechanical sense. And it's never made sense to me that you can make a nose smaller by adding something under the skin!
With time, in many people, the skin tends to get a little thinner, which makes the outlines of the underlying cartilages more noticeable. When that happens, we often *think* that the cartilages are getting more prominent, even though it's probably just the skin changes. From your description, you might have tip cartilages that are just a bit wider than you think is ideal. The thing to do would be to get a surgeon's opinion, with a good set of photos from different angles, and have the surgeon morph them to show proposed changes. If those changes seem to target what bothers you very well, then sure, it might be the nose that you're seeing, and you could consider a rhinoplasty. You'd need a surgeon who is sensitive to your uncertainty and doesn't offer surgery simply because you sent an email. I'd recommend forcing yourself to de-prioritize nostril symmetry. It's exquisitely difficult to correct, and in fact I don't try, because the attempt can interfere with other desired changes, and it's such a tiny part of what a nose looks like, and other people just don't notice it. Botox doesn't change what a nose looks like. And filler would make your nose look bigger. (Put something in the nose -- it looks bigger! Simple I don't believe any of the explanations that the nose looks smaller when you make it bigger. Doesn't fly with me.) I don't think that's what you'd be seeking.
I would not look at this one photo and conclude that there's nothing you can do. You need an expert to feel the nose, assess where the cartilages lie, see how the cartilages are controlling what the nose looks like now, how much of the size is swelling, or scar, or cartilage, whether modifying the positions of the cartilages could help, and how that could help, and by how much, and what are the chances of success. It'd be rare for a lot of what you're seeing right now to be true swelling; swelling eventually tends to go away, almost no matter what else is happening in the nose. There may be other considerations, too. For example, the after photo you posted has you in a big smile, which does tend to distort the nose, but even in the middle photo, the nose looks long-ish to me. If your current nose would benefit from being shortened, that change might address part of how the nose looks wide to you, because a nose that is smaller overall tends to bug us less, and it might change the proportions so you don't interpret what you see as too wide. Boy, I'm even confusing *myself* right now. I think the next step would be a good set of photos, and some morphs made by the surgeon, under your direction, and then of course an exam in person. An honest and skilled surgeon would tell you whether he would go ahead with surgery, if the nose were on *his* face. But giving up now, without another try at evaluation, especially considering how much it bothers you, doesn't seem at all to be necessary.
Is there a reason you want to avoid working on the bone? Working on the tip and the columella is a thousand times more difficult and time-consuming than "working on the bone." In an operation that would take me about 3 and a half hours, the boney work would take less than three minutes, and it wouldn't result in any more swelling, or bleeding, or bruising. The hard part is the tip. You have a strongly-projecting nose, which means it comes out forward away from your face. When the tip is brought back closer to the face, it tends to make the nose *look* longer, as if the tip had actually dropped, so it's very important in a nose like yours to elevate the tip. Then, the bridge would be lowered to match the new position of the tip. And as you noticed, there would be work to try to decrease the prominence of the columellar show. But if you're considering a rhinoplasty, have *everything* worked on, or nothing. Otherwise, you'd probably just get in trouble with it. How *much* to elevate the tip, or deproject the nose, or lower the bridge, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.) Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.