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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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With the dorsum of the nose pushed in just above the tip, the tip looks too prominent, isolated from its neighboring structures.  After surgery, the nose flows more gracefully from dorsum to tip, without the divot.

The artificial material I like to use is soft, like a cloth, so it doesn't show any sharp edges as grafted cartilage could.  Note the smooth, natural contour of the bridge of his nose after surgery.


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Is It Possible to Make a Nose Shorter and Less Bulbous with Rhinoplasty?
I have a long nose with a bump and a big tip which I would really like to correct. Is there a way to correct all of these problems at once?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose is more projecting than it is long
Hi. You have a nose that is strong in its forward projection away from the face. Lessening that strength is called "deprojecting" the nose. 

"Length" is the measurement of the nose from where it begins between the eyes, down the bridge of the nose to the tip. So a nose with a droopy tip is "long," but Pinocchio had a "projecting" nose.

Deprojecting a nose involves complicated techniques on the tip cartilages, because it is those tip cartilages that hold the tip out away from your face. Be sure to see before and after photos of other patients whose noses were deprojected by the surgeon you are considering using, so you can see that he knows how to do this operation.

Link to this question on RealSelf.com