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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Along the dorsum, you can see parallel vertical white lines that are the reflections of the flashes.  The linear reflections are prominent, and a bit crooked; they softened and straightened after the hump was removed.

Look at the tip of her nose.  In the after picture, there are two white dots, also reflections from the flashes.  The white dots are small and symmetric, closer together than in the before picture, more distinct than in the before picture, and positioned higher above the nostrils than in the before picture.  Those findings are our indications that the tip of the nose was narrowed and elevated during the operation.  Also, we get to see just a little bit more of her nostrils after surgery, another indication that the tip of the nose was elevated.


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: I am wanting Rhinoplasty as I hate the length of my nose and my wide bridge too! Any suggestions?
Is there anyway I can find out what would nose would suit my face etc - like having a video image first!?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose is strong in its forward projection
Image? Sure. Check out the Web reference link below. I made a morph of your profile.

I brought the tip of your nose substantially closer to your face, and elevated the tip, too: when the nose comes back closer to the face, it usually *looks* longer, and you have to raise the tip so it doesn't look too long after surgery.

Note, also, that I reduced your nose up where it begins, just beneath your eyebrows. It's important to address that area, so you don't look like a Roman statue after surgery.

These changes are all fairly predictable to accomplish, but only in truly expert hands. Be sure you see lots of a doctor's before and after photos before hiring someone to do your rhinoplasty.

Link to this question on RealSelf.com