In the before picture, you can see some white marks in the middle of her
dorsum that are reflections from the flash, right where the hump was.
The marks are crooked, indicating that her nose was a little crooked
in that area before surgery. I mentioned in the section on nasal
reconstruction that correcting a crooked nose is one of the hardest changes to
make in rhinoplasty. However, if the crooked area is small, and if it's on the hump, sometimes
simply removing the hump removes the crookedness entirely.
We also know that her nose was shortened somewhat during her rhinoplasty,
because we get a better view of her nostrils in the after picture.
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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