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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: 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