Check out this profile view: no indication of the problem of great excess width in
the tip of the nose, even in the before photo.
This is why, when you see rhinoplasty before and after pictures in a magazine
article, on the Web, or in a doctor's office, the photos will so often be like
these: a direct
profile shot of a nose that is already short enough, not too projecting, and
all it needed was removal of a small hump.
Most plastic surgeons can get those changes right once in a while. If
you have a unique problem with the tip of your nose, you need to see photos
showing correction of that type of problem in order to evaluate the plastic
surgeon you are interviewing.
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Is There Any Kind of Procedure for my Kind of Nose?
Theres a bit of cartilage at the base of my nose under my top lip which makes my nose and my profile longer (pic 1&3) Can anything be done about this? I think its because of this cartilage which runs from the columella to my bone which cause my nose to be pinocchio-esque. The Nasofrontal Angle is rather small around 100 degrees and in (2) you can see that the alar base is not in-line with columella base, its rather lower. From the front this makes my nostrils more pronounced (4).
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose mainly requires deprojection, bringing the tip back closer to the face
You have a strongly projecting tip, and otherwise many attractive features to your nose. Respectfully, I don't think it's the bone at the base of the nose that makes the tip projecting -- that bone is only rarely the culprit. It's almost always the length and strength of the lateral crura of the tip cartilages that provide the support and strength to overproject the tip. I made a morph to show what your nose can look like after surgery. You need a surgeon who can prove to you that he is expert in deprojecting noses; many, if not most, of the revisions that I perform relate to deprojecting noses that were inadequately projected during the primary operation.
Link to this question on RealSelf.com