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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What is Wrong? What Should I Do Next? Revision Rhinoplasty 21 Months Ago?
My initial operation left me being unable to breathe through my left nostril. My nose looks ok from profile but facing on, very wide and a small piece of cartilage??is poking out mid bridge on the right side! Should my nose be this wide after grafts? Initially my nose was slim with a bump. I would be grateful for some advice. Thankyou
(Questioner submitted photos)
Dr. Denenberg's answer: That bump can be removed, and your nose might benefit from a profile adjustment, too
I see the areas that you complain of. If you have grafts in the nose, and it is hard cartilage that is causing the bump on the right side and the excess width, it can be predictable to narrow the nose by removing or adjusting the offending graft. You probably also have some scar tissue under the skin that could be trimmed. See the Web reference link for a digital modification of your photo showing the improvements.
I personally think your profile could be made more natural as well. The tip of your nose is projecting forward, beyond the line described by the bridge of your nose. I'd like to see the tip of your nose closer to your face, and the very bottom of the nose tucked up a small amount to decrease the amount of the inside of your nose that is visible from the side view. I made a modification of that view as well. Bringing the tip of the nose back closer to the face is one of the most predictable changes in revision rhinoplasty, in competent hands.
Link to this question on RealSelf.com