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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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"...all the way to Omaha from Norway ... "
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Interested in morphs?
All views of this rhinoplasty patient:
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current: Frontal
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Go here to learn how to send your photos to Dr. Denenberg,
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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: Would the Results I Desire Be Possible and Not Risky?
I feel my nose is simply out of place on my long face with my relatively deep set eyes and tiny lips. I would very much like a much finer and upward tip, generally finer nose and no dorsal hump what so ever. However, a surgeon would have to work with my nose and make the best of it, they can't simply give me a brand new one. Would the results I want as on the picture (excuse my crude photoshop-ing) be too tricky and risky?
(Questioner submitted photos)

Dr. Denenberg's answer: Your morphing is excellent, and your proposed changes are possible
Your proposed changes are certainly possible. See my "Web reference" link for a proposed change to your morph. I re-made it, taking down the small prominence that you left on your bridge just above the tip. That prominence should be taken down, as in my morph, to give the bridge a straighter appearance and make the tip look more delicate.

Be sure to see lots of before and after photos of the surgeon you pick, to make sure he has been able to accomplish for other people what you want for yourself.

Link to this question on RealSelf.com