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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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"When I look in the mirror,
I am in disbelief at how natural it looks ... "
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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: Is it common after Rhinoplasty the tip of nose to drop?
I got rhinoplasty 3 months ago and 3 weeks post op the tip of my nose dropped loads and is getting worse and which is giving me my bump back again, I'm ment to be getting revision on it but people have went and have got worse so I'm worried, is it normal for it to drop or is there something the surgeons not done right?
(Questioner submitted photos)

Dr. Denenberg's answer: Uh oh, I'd be worried, too.
It's true that three weeks is very early for healing of a nose, but in the next many months, most of the changes have to do with decreasing width: the tip getting smaller, the bridge getting narrower. However, in my experience, if the *length* of the nose is the problem, the length does not shrink as the swelling subsides. The tip does not climb up. In fact, we typically expect a tip to drop with time, so, for example, I'm not unhappy if my patients are nervous because the nose looks *too short* at first, because I know the nose will lengthen a little bit with time.

Still, there's nothing to do right now but wait, and as the water leaves your nose and the overall nose gets smaller, the length may bother you less.

However, one of the most common problems that I see in my revision patients is that the previous surgeon did not shorten the nose enough. It's not easy to do, and most doctors can't get it accomplished well. If you do wind up looking for a revision later, be certain that you've seen before and after photos that show excellent shortening of the nose.

Link to this question on RealSelf.com