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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Is It Possible to Make a Nose Shorter and Less Bulbous with Rhinoplasty?
I have a long nose with a bump and a big tip which I would really like to correct. Is there a way to correct all of these problems at once?
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose is more projecting than it is long
Hi. You have a nose that is strong in its forward projection away from the face. Lessening that strength is called "deprojecting" the nose.
"Length" is the measurement of the nose from where it begins between the eyes, down the bridge of the nose to the tip. So a nose with a droopy tip is "long," but Pinocchio had a "projecting" nose.
Deprojecting a nose involves complicated techniques on the tip cartilages, because it is those tip cartilages that hold the tip out away from your face. Be sure to see before and after photos of other patients whose noses were deprojected by the surgeon you are considering using, so you can see that he knows how to do this operation.
Link to this question on RealSelf.com