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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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Questioner:
What's the least invasive procedure to correct the bump on my left nostril?
The bump has gotten worse over the years. It feels as though the cartilage cracked. I can kinda push down on the bump and put it "into place." I'm not looking for the perfect nose. Ihave a deviated septum and my nose sways to my left. Again, my nose doesn't have to be perfect...I'm only interested in the least evasive procedure to correct or smooth this bump on left nostril area.
(Questioner submitted photos)
Dr. Denenberg's answer: There's no tiny operation to fix the bump
Hi,
That "bump" is one of the two cartilages that make up your tip. There's a bump on the other side, too, but it's smaller.
In order to minimize the bump, those cartilages need to be modified, and that's a rhinoplasty. You need an experienced surgeon with excellent before and after photos. Many plastic surgeons don't have the skill to make an accurate correction of your "bump," because it has to do with modifying those tip cartilages, somewhat of an advanced technique, in my experience.
Link to this question on RealSelf.com
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