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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Can rhinoplasty fix my narrow and long nose?
How extensive of a procedure will it take to correct my nose? What options are there as far as shaping out there for me? What shape would compliment my facial structure?
(Questioner submitted photos)
Dr. Denenberg's answer: You are a somewhat typical candidate for a rhinoplasty
The operation wouldn't be more extensive than an "average" rhinoplasty, although I consider all rhinoplasties fairly "extensive."
I think most people, if they had your nose and were of a mind to change it, would consider lowering the bump on the bridge, narrowing the tip a small amount, elevating the tip up a small amount, and deprojecting the tip -- that is, bringing the entire nose back closer to your face.
Link to this question on RealSelf.com