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Steven M. Denenberg, M.D.
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She doesn't really have a ball on the end of her nose, even if that's the cliché.  The cartilages that form the tip of her nose are wide, and they overlap each other, giving the impression of a ball.

A wide tip will appear to be a bulge on an oblique view of the nose.  If you put your finger on her nose where it begins, next to the inner corner of her left eye, and run your finger down the edge of her nose, your finger will have to bump out to your right as it follows the bulge around the tip of her nose in this view.  In the after picture, with a narrower tip, that bulge is gone, and your finger would trace a straight line from where her nose begins down to the tip.

Now clean off your computer screen.


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"...all the way to Omaha from Norway ... "
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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: Rhinoplasty for bulbous very round nose?
I am a 20 year old white female. My nose is very very round/boulbous. The bridge is fairly straight, but the tip throws it off. I think my skin is pretty thick, (i know that can be an issue with rhinoplasty) but how do I know if it is thick? Would I just need a tip rhinoplasty or a full one? What should I expect? I am also haveing a hard time finding a before and after of a white female with a nose as boulbous as mine, so if you could send me one that would help.
(Questioner submitted photos)

Dr. Denenberg's answer: Perhaps work on more than just the width of the tip
Hi,
I see the width of the tip, and indeed it's possible to improve your nasal tip (see the Web link below). My suggestion would be to make a couple other changes at the same time, such as elevating the tip a small amount and taking down the small bump along the bridge of your nose. The video link below shows a simulation of those changes.

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