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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Does the tip of my nose look too big?
I had a revision rhinoplasty about 14 months ago. The doctor added spreader grafts and a tip graft and brought my nostrils in a little bit. My nose still looks too wide and full at the tip. What do you think can be done to improve the look of my nose? It just seems very full to me. Thanks for your answers!
(Questioner submitted photos)
Dr. Denenberg's answer: Seems to me that the tip of your nose droops, besides being a little wide.
I see the fullness that you describe, but to my eye, much of the "fullness" is that the tip of the nose hangs down more than you might like it. See the video link for a simulation I made of the changes that could be possible in a revision, if the surgeon is truly expert in shortening a nose during a revision.
Link to this question on RealSelf.com