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
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I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)
Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing.
Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.
I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.
Link to this question on RealSelf.com