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Steven M. Denenberg, M.D.
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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: Can I get rhinoplasty for bulbous tip and mid nose?
I am looking to get rhynoplasty done on my entire nose. Not only is the tip bulbous, but the cartilage/nasal bone is wide and pushing outwards. Please see the pictures attached. The cartilage/nasal bone creates a bump as I'm looking sideways at an angle, and overall both pictures look better than in person. I also have quite a long midface and was wondering if there are any procedures to make this look better based on work for the nose.
(Questioner submitted photos)

Dr. Denenberg's answer: Improvements can be made in a wide nose
Yes, it looks as though the cartilages in the tip of your nose are wider than they need to be, and the other issue you identified, the width of the bones and the cartilages in the upper part of your nose, often happens with a wide tip.  See the attached video and the Web reference link for some examples of what can be done in the right hands.

Your midface is fine. Anyway, your nose is short on that midface, and there's nothing we can do about the length of the midface anyway, except where it's so long as to be a true deformity.

Link to this question on RealSelf.com