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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: Am I a Good Candidate for These Rhinoplasty Procedures?
I would like to get cosmetic surgery to reduce my dorsal hump and possible Radix reduction. Would I be a good candidate for these procedures? Would I require additional refinements other than what I mentioned? Is closed Rhinoplasty an option? I am unhappy with the bump, and height of my nose. It is also very wide and causes difficulties when I want to wear glasses.
(Questioner submitted photos)

Dr. Denenberg's answer: Radix reduction is important in your nose
If the hump is removed, the radix must be taken down as well, or you nose would look too long, like a Roman statue's nose. Also, raising the tip would help, as well as bringing the entire nose back, closer to your face. See the link to see what these changes could do for your nose.

Link to this question on RealSelf.com