POSTED UNDER Revision Rhinoplasty REVIEWS
Ready for Change ~ with Dr. Denenberg, Omaha, NE
ORIGINAL POST
After 12 months, my Cosmetic journey is finally...
$17,825
After 12 months, my Cosmetic journey is finally coming to an END…. I’m finishing with a Rhinoplasty Revision & Chin implant with Dr. Denenburg on September 21st, 2016.
If you’ve checked my profile you’ll see that I have now have 4 REVIEWS (including this one) that has taken place over a short period of 24 months. A few reasons…
#1. The timing in my life is perfect right now to be able to do these procedures &
#2. I just want to get these surgeries DONE & out of the way so I can continue to enjoy my 50’s with confidence in my own skin! Now at age 54, I really don’t WANT to wait anymore!
So, I began this journey in September 2014 first with a MMO. The BLA was to replace some very old aging saline breast implants…followed up by a slight breast reduction & lift. I also wanted a TT Revision of an old procedure that I’d done some 20 years ago.
Just this past September 2015 I went onto fixing my arms due to a bad lipo job done 8 years prior and included a full-face fat transfer. All of these procedures I did in a short 12 month span and all procedures turned out fantastic with NO additional revisions (except the TT…third times a charm)!
My final procedure is now booked to FIX a Rhinoplasy that I had done in my late 20’s. After much research on Rhinoplasty Revision over the past 12 months, my doctor of choice is with Dr.Denenberg of Omaha, Nebraska. After researching many different PS websites and reviewing before & after photos of their own patients…it appeared that Dr. Denenburg has worked on similar noses as mine. I contacted Dr. Steven Denenburg by e-mail, which I then forwarded him a ton of photos before my Rhinoplasty & then a ton of photo’s after the Rhinoplasy. Here’s what I feel needs to be corrected and this is what Dr. Denenberg suggested:
Me: Dislike the hanging Columella and slight slant of one nostril
Dr. Denenberg: The droopy columella is a result of tip cartilages that weren’t completely corrected during my rhinoplasy. YES, he can tuck up the hanging columella! YES!
Me: Dislike the bump on the right side of my nose!
Dr. Denenberg: Here’s what I can do: #1 I’ll start by narrowing your bridge a tiny amount, narrowing the tip a little as well, and then decreasing the dent just above the tip, which makes the skin look a little dark between the bridge and the tip. I’ll go onto reducing some of the asymmetries of the nose.
Me: I feel like my nose is too large for my face and it ages me
Dr. Denenberg: You certainly don't have the world's smallest chin, but sometimes adding a little bit of strength to the chin can make the nose look even smaller and thereby making my overall appearance younger. I propose a small chin implant to balance out your features.
Dr. Denenburg’s final comets: Even though we are never able to make 100% of the changes that we might wish to make in a rhinoplasty, especially a revision, I think you are a good candidate for a revision, because the kind of modifications to the cartilage that I demonstrated in these images come with some reasonable level of predictability. You would certainly have some asymmetries left over or something left over that still bugs you, but I think the most likely outcome would be an improvement that you felt was meaningful and nice. Especially considering that this would be a medium complicated revision.
My overall thoughts: Well, after everything I’ve gone through as far as revisions, I realize nothing is perfect and it’s SO easy to sit & look in the mirror and critique our-selves beyond what’s acceptable or what’s not! Here’s what's important to me: Get rid of the hanging columella and the stupid bump on my nose…overall reduce the size of my nose and I’ll be SO happy!
I’ve decided to go ahead with the planned surgery in 2016 by doing this:
Consult on Tuesday Morning September 20th
Surgery on Wednesday September 21st
Whew…Dr. Denenberg doesn’t come cheap…here’s the cost break-down:
Revision Rhinoplasty $14,500.00
Chin Augmentation: $ 1,800.00
Operating facility and Anesthesia $ 3,000.00
TOTAL…………………………………………$19,300.00
This WAS the same cost for my MMO with Dr. Peterson just over a year ago.
PLUS:
Mandatory patient sitter……………….$ 325.00 (1st night only)
And of course: 10 day hotel stay, airfare and meds!
So…I called Beth (patient coordinator), chose a surgery date and paid a non-refundable deposit. It’s a done deal and I couldn’t be happier to get this done! However, I was thinking…why the heck couldn’t Dr. Denenberg be living in Hawaii…lol!
If you’ve checked my profile you’ll see that I have now have 4 REVIEWS (including this one) that has taken place over a short period of 24 months. A few reasons…
#1. The timing in my life is perfect right now to be able to do these procedures &
#2. I just want to get these surgeries DONE & out of the way so I can continue to enjoy my 50’s with confidence in my own skin! Now at age 54, I really don’t WANT to wait anymore!
So, I began this journey in September 2014 first with a MMO. The BLA was to replace some very old aging saline breast implants…followed up by a slight breast reduction & lift. I also wanted a TT Revision of an old procedure that I’d done some 20 years ago.
Just this past September 2015 I went onto fixing my arms due to a bad lipo job done 8 years prior and included a full-face fat transfer. All of these procedures I did in a short 12 month span and all procedures turned out fantastic with NO additional revisions (except the TT…third times a charm)!
My final procedure is now booked to FIX a Rhinoplasy that I had done in my late 20’s. After much research on Rhinoplasty Revision over the past 12 months, my doctor of choice is with Dr.Denenberg of Omaha, Nebraska. After researching many different PS websites and reviewing before & after photos of their own patients…it appeared that Dr. Denenburg has worked on similar noses as mine. I contacted Dr. Steven Denenburg by e-mail, which I then forwarded him a ton of photos before my Rhinoplasty & then a ton of photo’s after the Rhinoplasy. Here’s what I feel needs to be corrected and this is what Dr. Denenberg suggested:
Me: Dislike the hanging Columella and slight slant of one nostril
Dr. Denenberg: The droopy columella is a result of tip cartilages that weren’t completely corrected during my rhinoplasy. YES, he can tuck up the hanging columella! YES!
Me: Dislike the bump on the right side of my nose!
Dr. Denenberg: Here’s what I can do: #1 I’ll start by narrowing your bridge a tiny amount, narrowing the tip a little as well, and then decreasing the dent just above the tip, which makes the skin look a little dark between the bridge and the tip. I’ll go onto reducing some of the asymmetries of the nose.
Me: I feel like my nose is too large for my face and it ages me
Dr. Denenberg: You certainly don't have the world's smallest chin, but sometimes adding a little bit of strength to the chin can make the nose look even smaller and thereby making my overall appearance younger. I propose a small chin implant to balance out your features.
Dr. Denenburg’s final comets: Even though we are never able to make 100% of the changes that we might wish to make in a rhinoplasty, especially a revision, I think you are a good candidate for a revision, because the kind of modifications to the cartilage that I demonstrated in these images come with some reasonable level of predictability. You would certainly have some asymmetries left over or something left over that still bugs you, but I think the most likely outcome would be an improvement that you felt was meaningful and nice. Especially considering that this would be a medium complicated revision.
My overall thoughts: Well, after everything I’ve gone through as far as revisions, I realize nothing is perfect and it’s SO easy to sit & look in the mirror and critique our-selves beyond what’s acceptable or what’s not! Here’s what's important to me: Get rid of the hanging columella and the stupid bump on my nose…overall reduce the size of my nose and I’ll be SO happy!
I’ve decided to go ahead with the planned surgery in 2016 by doing this:
Consult on Tuesday Morning September 20th
Surgery on Wednesday September 21st
Whew…Dr. Denenberg doesn’t come cheap…here’s the cost break-down:
Revision Rhinoplasty $14,500.00
Chin Augmentation: $ 1,800.00
Operating facility and Anesthesia $ 3,000.00
TOTAL…………………………………………$19,300.00
This WAS the same cost for my MMO with Dr. Peterson just over a year ago.
PLUS:
Mandatory patient sitter……………….$ 325.00 (1st night only)
And of course: 10 day hotel stay, airfare and meds!
So…I called Beth (patient coordinator), chose a surgery date and paid a non-refundable deposit. It’s a done deal and I couldn’t be happier to get this done! However, I was thinking…why the heck couldn’t Dr. Denenberg be living in Hawaii…lol!
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Replies (25)
November 10, 2015
Just saw the video you posted, you are gorgeous! I saw your other review where you had fat grafting and it looks great too, smooth and not too heavy. Your current chin looks fine. IMHO just the nose work, your current nose isn't that bad but I agree it will look better with the changes. Maybe try a morph where you lower the alar rims too & see if you like it. Anyway I'm amazed at your age you look much younger IMHO.
November 10, 2015
Awe...thanks Ms myrica! Couple of questions: What's a morph? Is that an app? What is alar rims? I thought I should do my face fat transfer before my rhinoplasty revision and not after...just in case the extra fat on my face changed the way my nose looked...NOT...lol! Ya, I'm not sure about that chin implant either? That's just something Dr. Denenberg & I will have to discuss during our one to one consultation.
November 11, 2015
Alar rim is the outer edge of the nostril, on your teenager pic before any rhinos the alar rims were a bit lower. If you google "alar retraction" there are probably pics showing what it is & how surgeons fix it. Yours isn't severe but it is something many patients want corrected when having a revision, using alar rim grafts. I have them for shaping. Just something to think about (a morph is just a modified photo like you posted so you can study changes).
November 11, 2015
Cool! I'm SO SO happy that I'm a member of RS! I learn so much from RS sisters. Thank You so much for your info.
December 30, 2015
Good luck with your surgery! I have had 2 chin implants and am looking for a revision due to shifting. Your natural chin looks great. Also, when I smile my chin juts forward (looking at the profile). I would make sure you are clear on what a chin implant will look like with multiple facial expressions to help you decide.
December 30, 2015
Thanks Boston2014. I'm pretty certain I won't do the chin implant...sorry to hear about your frustrations with your chin implant. Good luck with a 3rd revision...
January 3, 2016
It does not look like you need a chin implant. Wait till after your revision and then make decision. Good luck!
May 2, 2016
Before even seeing the other comments and after watching your video I honestly don't think you need a chin implant. I read somewhere that your surgeon loves chin implants. Good luck.
May 2, 2016
Completely agree, I wouldn't think you needed a chin implant what so ever, not even the slightest bit. I agree with your concerns about your nose but I completely disagree with any notion of having a chin implant, I think you will regret having one if you go through with that part, your chin is one of the nicest chins I've ever seen and is by no stretch of the imagination small, or in need of altering one way or the other. Gosh, If your chin needs altering then I don't even want to know what some surgeon might have to say about mine or 90% of the rest of us. That's just scary to think about.
May 2, 2016
I agree Ms. Wherehaveigone! I've already let Dr.Denenberg know that I will not be doing a Chin Implant :))
May 3, 2016
I'm glad. I think a chin implant would be a mistake too. You have a very pretty face just the way it is.
May 3, 2016
my nose tip does the same thing. i have a bulging cartilage on one side and its like the graft is pushing out of my nose tip and is quite pointy. Do u have a strut graft in ur nose tip?
May 4, 2016
Hey Ms.E.m.k, no I don't have any grafts of any sort. I guess my dr who did my rhinoplasty 20+ years ago, just didn't do the best job.
Replies (23)