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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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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 a tip plasty be enough to correct the bifidity of my nose and make a more attractive nose?
Would suturing the cartilages make the nose more projected? I don't want it to be more projected. Would fixing the bifidity allow the flow from bridge to tip to be more smooth? As now it looks like it is all in separate pieces. I hate these indentations and just want them gone and bring harmony to my face.
(Questioner submitted photos)

Dr. Denenberg's answer: Indeed, the tip of your nose can be made less prominent with rhinoplasty
Work on the tip of a nose like yours isn't all suturing cartilages: some cartilage would be removed, some re-positioned. It doesn't have to increase the projection of the tip. In fact, it can *decrease* the projection of the tip, or leave  the projection alone, depending on what needs to be done and your preferences.

Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.

Link to this question on RealSelf.com