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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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This nasal hump is of slightly more than average size.  I had a patient several years ago who had an extremely large hump removed.  When I saw her three weeks after surgery, she told me that she had reached up to scratch an itch in the middle of her dorsum, but she missed, and wound up scratching air, because she positioned her finger where she thought the nose should be to get at an itch right on the hump.  She had to get used to finding her new nose with her fingers.


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current: Right oblique
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Can I Have a Tip Refinement Instead of Full Rhinoplasty?
(Questioner submitted photos)

Dr. Denenberg's answer: Probably a tip refinement wouldn't be best for your nose
It's only the rarest of cases where you can work *only* on the tip. Changing the tip's appearance also changes what we think of the other parts of the nose, and they almost always have to be adjusted so the nose matches aesthetically. See my "Web reference" link for a morph of what changes I see for your nose.

Besides the strong tip cartilages, the bridge of your nose is strong in its forward projection away from the face, particularly at the top of the nose, where the nose begins just below the eyebrows. In my morph, I reduced the strength of your nose up there, reduced the width of the tip. Then, I moved the tip a little closer to your face as well, because that's a change that often happens when we're narrowing a tip. And I elevated the tip a small amount, so it doesn't cover your upper lip as much on the frontal view. Then I tucked up the columella, which is the part of the nose between the left nostril and the right nostril. That part can be brought up a small amount, decreasing the amount of the inside of your nose that is visible from the profile view.

The doctor you consider using for your surgery should be able to put together for you all of the aesthetic areas that you notice, and show you how changing those areas have implications for the *rest* of the nose.

Link to this question on RealSelf.com