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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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I strive to make a nose that doesn't draw attention to itself, but fits with the rest of the face.  Sometimes, a patient's ethnicity or personal tastes will dictate that I do less during surgery, leaving the nose bigger than most people would prefer, or doing more, making the nose smaller than the common vote.  Either way is fine, as long as we don't go too far, and as long as we target the patient's rational wishes as closely as possible.


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What Should I Do for a Nose That's Too Pointy AND Bulbous?
Hi there. I have been considering rhinoplasty for a few years. I am 23 and want a classic, feminine nose, maybe something like Natalie Portman's or Audrey Hepburn's. I think that I am pretty but I feel like my nose needs some enhancement--I think it's too bulbous when viewed from the front and too pointy from the side, and just too massive in general, though I don't think my nose is gigantic or anything. What should I do? Should I even bother getting one?
(Questioner submitted photos)

Dr. Denenberg's answer: You do have some nose features that can be improved with a rhinoplasty
From these photos, your nose doesn't have any one overwhelming feature, but there are a few areas that could be reduced a small amount.  You have a mild hump on your nose, the nose protrudes strongly forward away from your face, the tip cartilages make the tip look a little broad, and the upper part, where it's made of bone, might be a little wide. You have many beautiful features to your face, which help to hide the nose. When investigating surgery, be sure you look at a doctor's before and after photos, to see whether he has been able to accomplish for someone else what you would like for yourself. 

Link to this question on RealSelf.com