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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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Questioner:
How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)
Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
Hi,
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip. The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.
Link to this question on RealSelf.com
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