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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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This young woman's nose appeared to sit too close to her face.  She had inadequate projection.  The goal of her operation was to bring the tip of her nose farther out from her face.

Her nose has some of the appearance of a cleft lip nose, but her lip is perfect: she was injured in a jungle gym accident.  The nose is reminiscent of a cleft lip nose because persons with that congenital deformity often have an associated deformity of the nasal tip cartilages that causes the tip of the nose to sit too close to the face.

The rhinoplasty surgery tutorial contains a chapter that discusses the importance of tip projection and how it is maintained or created surgically (the surgery tutorials contain explicit photographs taken during surgery).


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current: Left oblique
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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: What procedures will I need to go through To correct this. Will I need a septoplasty and rhinoplasty?
Here is a better picture of my nose..I do have a couple of doctors that I am highly interested in. Theyre facial plastic surgeon & board certified. As you can see My bulbous droopy tip, crooked nose, & a bump That this nose is not for me. I am wanting a more feminine face. i wished my nose was smaller but not too small.. just something that will Fit my face. i am just so insecure with my face bc of my nose...i am around people everyday & i just deal with it. I almost want a nose like jen selter.
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose requires some advanced techniques
Hi,
It seems to me that your nose would benefit from a significant "deprojection." That means bringing the entire nose back closer to your face. Look at the simulated modification that I made in the video link. Ignoring the hump for the moment, you can see that the tip of your nose moved significantly closer to your face. Then, the hump was also taken down.

You have a little bit of what we call "tethering" of the upper lip. That's when the upper lip pulls forward, right where it meets the bottom of the nose. If the tip of the nose is successfully deprojected, the tethering tends to lessen, or go away.

Making a predictable deprojection of the nose is not something that every plastic surgeon can accomplish, so be sure to see photos of the doctor's other patients who had impressive deprojections, before deciding on a surgeon.

Link to this question on RealSelf.com