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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Am I a candidate for a Tiplasty?
My nose is currently in the pic above i would like it to look like the picture below it....what would require to be achieved? From research i have done i would think it would be a tip rotation and trim....if so...does this procedure require anethesea /would it be cheaper??? Thanks :)
(Questioner submitted photos)
Dr. Denenberg's answer: I think you're right: upward rotation of the tip is the goal
When you are looking for a surgeon, be sure to see before and after photos of patients who have had a successful and substantial upward rotation of the tip. Many of the revision operations that I perform are on patients who needed rotation but didn't get it in their first operation. It's a change that every plastic surgeon cannot accomplish.
Link to this question on RealSelf.com