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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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 views of this rhinoplasty patient:
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current: Right oblique
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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: Can I Have a Tip Refinement Instead of Full Rhinoplasty?
(Questioner submitted photos)

Dr. Denenberg's answer: Probably a tip refinement wouldn't be best for your nose
It's only the rarest of cases where you can work *only* on the tip. Changing the tip's appearance also changes what we think of the other parts of the nose, and they almost always have to be adjusted so the nose matches aesthetically. See my "Web reference" link for a morph of what changes I see for your nose.

Besides the strong tip cartilages, the bridge of your nose is strong in its forward projection away from the face, particularly at the top of the nose, where the nose begins just below the eyebrows. In my morph, I reduced the strength of your nose up there, reduced the width of the tip. Then, I moved the tip a little closer to your face as well, because that's a change that often happens when we're narrowing a tip. And I elevated the tip a small amount, so it doesn't cover your upper lip as much on the frontal view. Then I tucked up the columella, which is the part of the nose between the left nostril and the right nostril. That part can be brought up a small amount, decreasing the amount of the inside of your nose that is visible from the profile view.

The doctor you consider using for your surgery should be able to put together for you all of the aesthetic areas that you notice, and show you how changing those areas have implications for the *rest* of the nose.

Link to this question on RealSelf.com