The irregularity in her nose makes it look too short in the before
picture. By building up the nose, it appears to have a more substantial
length, even though I didn't change the position of the tip. This is an
interesting illusion relating the apparent length of the nose to the height of
the dorsum: the higher the dorsum sits, the longer the nose appears to be.
Similarly, if a patient has a long nose that I can't get quite as short as I
would like, carving down the dorsum a teeny bit more can make the nose look a
teeny bit shorter.
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Do I need rhinoplasty/chin implant to get desired look?
I want to fix hump and biggest issue is how long it looks. Would rhinoplasty fix this? Does the tip look like it needs to be fixed?When i look straight ahead I feel like nose looks to wide esp when I smile. Would doing a chin implant at the same time as rhinoplasty help my face look more even and aligned? I think my chin looks weak, or would using something such as fillers in the lips make my profile look better and everything aligned? I included examples of what I want my nose to look like.
(Questioner submitted photos)
Dr. Denenberg's answer: Rhinoplasty can help, but I like your chin as it is now
You have that gentle hump on the bridge, and a tip that could be elevated to make your nose more like the example photos. In the right hands, these are realistic goals for a rhinoplasty. See the Web reference link for an example.
I wouldn't recommend a chin implant. You have a tall chin with good strength, and an implant would draw too much attention to the chin.
Link to this question on RealSelf.com