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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:
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
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