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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Will Fixing Bulbous Tip Make the Nose Look Thinner?
I have a bulbous tip nose. I want to get my nose to have a normal tip but also want it to look thinner. If I get the bulbous tip fixed, will my nose automatically look skinnier?
(Questioner submitted photos)
Dr. Denenberg's answer: The tip and the bridge can be narrowed at the same time, but using different techniques
The work done during surgery to narrow the tip of the nose won't change the appearance of the upper part of the nose -- that part can also be narrowed, as a different part of the operation.
Careful, though, because narrowing a nasal tip is an advanced technique, and you should see before and after photos, before selecting your doctor, of other patients who specifically had their nasal tips narrowed. A profile view won't show that to you; it's the angled views, like the one you posted, that show the width of the tip.
Link to this question on RealSelf.com