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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Views of this rhinoplasty patient:

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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: Am I a candidate for a Tiplasty?
My nose is currently in the pic above i would like it to look like the picture below it....what would require to be achieved? From research i have done i would think it would be a tip rotation and trim....if so...does this procedure require anethesea /would it be cheaper??? Thanks :)
(Questioner submitted photos)

Dr. Denenberg's answer: I think you're right: upward rotation of the tip is the goal
When you are looking for a surgeon, be sure to see before and after photos of patients who have had a successful and substantial upward rotation of the tip. Many of the revision operations that I perform are on patients who needed rotation but didn't get it in their first operation. It's a change that every plastic surgeon cannot accomplish.

Link to this question on RealSelf.com