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A hump that resides in a typical position, such as this one, is partly made
out of bone and partly made out of cartilage. Removing the hump involves
using a file on the bone and carving down the excess cartilage.
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Questioner:
Would a tip plasty be enough to correct the bifidity of my nose and make a more attractive nose?
Would suturing the cartilages make the nose more projected? I don't want it to be more projected. Would fixing the bifidity allow the flow from bridge to tip to be more smooth? As now it looks like it is all in separate pieces. I hate these indentations and just want them gone and bring harmony to my face.
(Questioner submitted photos)
Dr. Denenberg's answer: Indeed, the tip of your nose can be made less prominent with rhinoplasty
Work on the tip of a nose like yours isn't all suturing cartilages: some cartilage would be removed, some re-positioned. It doesn't have to increase the projection of the tip. In fact, it can *decrease* the projection of the tip, or leave the projection alone, depending on what needs to be done and your preferences.
Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.
Link to this question on RealSelf.com
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