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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).


next view of this patient

"...he and his staff are very accessible
with any and all questions. "
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All views of this rhinoplasty patient:
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current: Left oblique
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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: Can I Keep the Length of my Nose?
I spoke to a plastic surgeon and I told him that I am happy with the length of my nose as it compliments my oval face.The surgeon agreed. I was to get a nose job mainly to remove a dorsal hump. But the surgeon told me that my nose will be shorter after surgery (about 0.5cm) due to the shape of it now. I think.a short nose will look out of place. i also askd if i could leave everything as it is and only remove the dorsal hump and he said that this will make my nose look cartoonish?
(Questioner submitted photos)

Dr. Denenberg's answer: You would benefit from a shorter nose when the hump is taken down
I agree that if the hump is taken down, your tip should be elevated, and the tip should also be brought back closer to your face. When a hump is removed, the nose usually LOOKS longer, even if it wasn't MADE longer. The Web link gives you two morphs, one showing just a take-down of the hump, and the other showing hump removal with a modest elevation of the tip and bringing the tip back closer to the face as well. A prominent hump can mask the fact that the nose is strong in its forward projection away from the face, so if the only change is the hump removal, it usually generates as many problems as it fixes! Make sure your surgeon shows you photos to prove that he is expert in tip work, because it is the tip work that allows the tip to elevate and move back closer to the face.

Link to this question on RealSelf.com