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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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I removed a small hump along her dorsum while shortening the nose and narrowing the tip.  Look at the white dot on HER right side of the tip of the nose in the after picture.  That dot is a reflection from the flash.  In the before picture, the dot is a wider splotch of white.  Clues like that are what help your eye evaluate the width of the tip cartilages in photos such as these.


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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.
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Questioner: Does the tip of my nose look too big?
I had a revision rhinoplasty about 14 months ago. The doctor added spreader grafts and a tip graft and brought my nostrils in a little bit. My nose still looks too wide and full at the tip. What do you think can be done to improve the look of my nose? It just seems very full to me. Thanks for your answers!
(Questioner submitted photos)

Dr. Denenberg's answer: Seems to me that the tip of your nose droops, besides being a little wide.
Hi,
I see the fullness that you describe, but to my eye, much of the "fullness" is that the tip of the nose hangs down more than you might like it. See the video link for a simulation I made of the changes that could be possible in a revision, if the surgeon is truly expert in shortening a nose during a revision.

Link to this question on RealSelf.com