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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:
Can I get rhinoplasty for bulbous tip and mid nose?
I am looking to get rhynoplasty done on my entire nose. Not only is the tip bulbous, but the cartilage/nasal bone is wide and pushing outwards. Please see the pictures attached. The cartilage/nasal bone creates a bump as I'm looking sideways at an angle, and overall both pictures look better than in person. I also have quite a long midface and was wondering if there are any procedures to make this look better based on work for the nose.
(Questioner submitted photos)
Dr. Denenberg's answer: Improvements can be made in a wide nose
Yes, it looks as though the cartilages in the tip of your nose are wider than they need to be, and the other issue you identified, the width of the bones and the cartilages in the upper part of your nose, often happens with a wide tip. See the attached video and the Web reference link for some examples of what can be done in the right hands.
Your midface is fine. Anyway, your nose is short on that midface, and there's nothing we can do about the length of the midface anyway, except where it's so long as to be a true deformity.
Link to this question on RealSelf.com
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