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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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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 rhinoplasty like this possible or doable?
I used a projection app to tweak how my side profile looked and I was wondering if in theory a rhinoplasty like the one in the picture could be performed? I've looked through rhinoplasty before and afters and I haven't found one quite like this.
(Questioner submitted photos)

Dr. Denenberg's answer: Deprojecting a tip is rather predictable, in the right hands.
Yes, deprojecting a tip is very possible. Before selecting a plastic surgeon, you need to see photos of other patients of his who have had successful tip deprojections. It's an advanced technique that not every plastic surgeon can accomplish. See the Web reference link for an example.

Link to this question on RealSelf.com