Two cartilages form the tip of the nose, a left tip cartilage and a right
cartilage. In the before picture, you can see the depression, or dent,
between her two tip cartilages. They are quite prominent, and decreasing
their strength was an integral part of obtaining this result.
If you don't mind looking at photos taken during surgery, the
of the rhinoplasty surgery tutorial gives a good introduction to the anatomy of
the tip cartilages,
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Can rhinoplasty fix my narrow and long nose?
How extensive of a procedure will it take to correct my nose? What options are there as far as shaping out there for me? What shape would compliment my facial structure?
(Questioner submitted photos)
Dr. Denenberg's answer: You are a somewhat typical candidate for a rhinoplasty
The operation wouldn't be more extensive than an "average" rhinoplasty, although I consider all rhinoplasties fairly "extensive."
I think most people, if they had your nose and were of a mind to change it, would consider lowering the bump on the bridge, narrowing the tip a small amount, elevating the tip up a small amount, and deprojecting the tip -- that is, bringing the entire nose back closer to your face.
Link to this question on RealSelf.com