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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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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 my nose tip be lifted and made smaller? I want a lip lift. too. Will it give me a good image?
(Questioner submitted photos)

Dr. Denenberg's answer: Nose: yes. Lip: no.
Hi. I agree that your nose, while certainly not terribly long, is at the longer end of a range of normal, and if your tastes run to shorter noses, a significant elevation of the tip is possible and fine. It also appears that you have strong cartilages in the tip of your nose, and some narrowing of those cartilages might be good, too.

Work on the tip cartilages often comprises advanced techniques that not every plastic surgeon can accomplish, so be sure to see before and after photos of the doctor's work before selecting a surgeon.

The lip lift: no, no, no! It would leave a visible scar at the bottom of your nose, and your lip already looks great!  A lip lift is for someone with a ***much*** longer upper lip than yours!

Link to this question on RealSelf.com