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This nose was missing some of its middle section, along the dorsum.
I reconstructed it by placing an artificial material in the
depression.
There are many materials that can be used successfully to build up part of
the nose. Some of the materials are natural (the patient's own bone or
cartilage, stolen from another part of the body), and some are artificial.
I generally prefer the artificial materials, at least today, for several
reasons. One of the most important reasons is that a soft, artificial
material can sit in the nose without showing a sharp edge or corner.
Smoother materials can make the nose look more natural.
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Questioner:
Rhinoplasty for bulbous very round nose?
I am a 20 year old white female. My nose is very very round/boulbous. The bridge is fairly straight, but the tip throws it off. I think my skin is pretty thick, (i know that can be an issue with rhinoplasty) but how do I know if it is thick? Would I just need a tip rhinoplasty or a full one? What should I expect? I am also haveing a hard time finding a before and after of a white female with a nose as boulbous as mine, so if you could send me one that would help.
(Questioner submitted photos)
Dr. Denenberg's answer: Perhaps work on more than just the width of the tip
Hi,
I see the width of the tip, and indeed it's possible to improve your nasal tip (see the Web link below). My suggestion would be to make a couple other changes at the same time, such as elevating the tip a small amount and taking down the small bump along the bridge of your nose. The video link below shows a simulation of those changes.
Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.
Link to this question on RealSelf.com
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