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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What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)
Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.
Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.
I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!
Link to this question on RealSelf.com