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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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The frontal view is always the hardest to evaluate, but we'll try.  Look at the two white dots in the tip of the nose.  They are reflections from the flashes, just as there are two white dots in each of her eyes.  Now compare the position of those dots with the position of her nostrils in the before and after photos.  You'll find that the dots are higher in the after picture, indicating that I succeeded in elevating the tip of her nose.

It's harder to tell what was done to the dorsum from this view, but check out the two vertical parallel white stripes in the dorsum in her after picture.  They are more even and uniform than the stripes in her before picture, indicating that her dorsum was narrowed and straightened.  See what you can tell if you know what clues to look for?


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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: 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