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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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"I felt like he listened to me,
heard my expectations and hopes,
and then he ultimately delivered. "
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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: Am I a Rhinoplasty Candidate with My Wide, Bulbous Tip?
I have always hated the tip of my nose. The bridge is a little wide and has a bit of a bump, but I would be satisfied with just a reduction in the tip. It's very wide and bulbous. It looks fine from the profile view, but front on it's very.. unattractive. Is there a way to have it reduced without too drastic of a change? I do not want a narrow, pinched look. It also tends to swell in cold, heat, or with allergies. Are there nonsurgical options too?
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, a rhinoplasty should help with your wide tip
I agree that the bridge is a little wide, too, but mainly work on the tip cartilages could help achieve your goals of narrowing the tip. 

Be sure to discuss all of the details that you care about with your surgeon, and be sure to see before and after photos of his other patients, specifically patients who have had correction of wide tips.

Note that a profile before-and-after, where perhaps you see a hump removed, doesn't tell you anything about how the surgeon handled a wide tip: it's the three-quarter, or oblique, views, that shows you whether a tip has been narrowed.

Link to this question on RealSelf.com