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Brow-tip aesthetic poor after rhinoplasty. No dorsal line on one side. Nose appears shapeless. How is this fixed?

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Ocean BeachMar 3, 2017
I used to have a gentle concave shape between my eye & nose on each side, and clear dorsal lines. One nasal bone is clearly very laterally placed and affected the concave shape and the shape of my medial canthus. The change to my eye is very perceptible in photos. I have no dorsal line, and a weird flat plane next to my eye. The other nasal bone is more vertically placed - the dorsal line is harsh & asymmetrical. My doctor said this is all due to the underlying bone asymmetry of my septum.

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From board-certified doctors and trusted medical professionals
Dr. Fred J. Bressler, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Mar 4, 2017
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Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Mar 5, 2017
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Carey Nease, MD

This is a difficult problem that can result from a reduction rhinoplasty procedure.  The mid- portion of your nose has settled and has a loss of support based on your photos.  You should absolutely visit with your original surgeon and also consider consulting with another surgeon who...

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Larry S. Nichter, MD, MS, FACS

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be b...

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William Portuese, MD

  It is very difficult to tell from a 1 limited photograph what is causing the issues.  A thorough internal and external examination of the nose is required to make a determination about it very difficult surgical procedure such as a septoplasty and rhinoplasty.

+3 answers
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