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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Can rhinoplasty fix my narrow and long nose?
How extensive of a procedure will it take to correct my nose? What options are there as far as shaping out there for me? What shape would compliment my facial structure?
(Questioner submitted photos)
Dr. Denenberg's answer: You are a somewhat typical candidate for a rhinoplasty
The operation wouldn't be more extensive than an "average" rhinoplasty, although I consider all rhinoplasties fairly "extensive."
I think most people, if they had your nose and were of a mind to change it, would consider lowering the bump on the bridge, narrowing the tip a small amount, elevating the tip up a small amount, and deprojecting the tip -- that is, bringing the entire nose back closer to your face.
Link to this question on RealSelf.com