• Rhinoplasty
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Steven M. Denenberg, M.D.
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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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All views of this rhinoplasty patient:
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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 Can Be Done to Improve the Appearance of my Nose? (Photos Provided)
I dislike the flat, boxy tip of my nose and the fact that it seems to have very defined edges like a cube. I'm wondering if it's possible to have the part overhanging my septum partly removed and reshaped, making the septum appear thinner and the tip rounder. I also wonder if it's possible to have the boxy edges literally shaved off. How possible would it be for my nose to be shaped more like Winona Ryder's, pointier, more graceful nose? Thank you for your help.
(Questioner submitted photos)

Dr. Denenberg's answer: Need larger photos!
Hi,

It does appear from the photos that your tip can be improved. Your photos, however, are far too small for a surgeon to see good detail. Post larger ones, and I'd be happy to make a morph showing what you could look like with a good rhinoplasty. Click the "Web reference" link for a before and after of a patient who had a nose perhaps similar in some features to yours.

Link to this question on RealSelf.com