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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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"I would highly recommend traveling to Omaha to see him. "
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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: Am I a Rhinoplasty Candidate with My Wide, Bulbous Tip?
I have always hated the tip of my nose. The bridge is a little wide and has a bit of a bump, but I would be satisfied with just a reduction in the tip. It's very wide and bulbous. It looks fine from the profile view, but front on it's very.. unattractive. Is there a way to have it reduced without too drastic of a change? I do not want a narrow, pinched look. It also tends to swell in cold, heat, or with allergies. Are there nonsurgical options too?
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, a rhinoplasty should help with your wide tip
I agree that the bridge is a little wide, too, but mainly work on the tip cartilages could help achieve your goals of narrowing the tip. 

Be sure to discuss all of the details that you care about with your surgeon, and be sure to see before and after photos of his other patients, specifically patients who have had correction of wide tips.

Note that a profile before-and-after, where perhaps you see a hump removed, doesn't tell you anything about how the surgeon handled a wide tip: it's the three-quarter, or oblique, views, that shows you whether a tip has been narrowed.

Link to this question on RealSelf.com