Let's try to evaluate the surgical changes from this frontal view.
You can see some of the changes from removing the hump: the before picture has
two parallel vertical white stripes along the dorsum of his nose.
Those stripes are the return from the flashes in my photo room. The
stripes give you a feel for the position of the dorsum and the presence of the
hump, and they are missing in the after picture.
Nasal length: in the after picture, we can see just a glimpse of his
nostrils. That glimpse is our indication that his nose was shortened,
because in the before picture, his somewhat droopy tip hung over and obscured
our view of the nostrils.
Actually, he has his head tilted down slightly in the before picture, but the
analysis is still valid. (You can tell that his head is tilted down a bit by
looking at his right eye and his right ear. In the after picture, his
right eye is at the level of the top of his ear. In the before picture,
his right eye sits below the level of the top of the ear.)
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Hello, I had a consult and CT scan showing I had a deviated septum. My surgeon had said if I cosmetically wanted to fix the tip of my nose, which has a deep cartilage split at the tip, giving the appearance of a "butt nose"...that it would be a couple of stitches when closing up. But I believe my nose turns up and the skin between the nostrils hangs, due to what I believe was terrible allergies and constant nose itching. What would be the best way to get a cuter shaped nose tip?
(Questioner submitted photos)
Dr. Denenberg's answer: Don't let that doctor operate on your nose!
"A couple of stitches when closing up" pegs your doctor as someone who knows nothing about rhinoplasty. You must not let him operate on your nose.
Changing your "butt nose" requires complicated work on the tip of your nose, using advanced techniques that not all plastic surgeons understand.
Link to this question on RealSelf.com