The before picture shows a massive amount of excess skin in that upper
lid. Look at the vertical distance in the before picture from the bottom
of her eyebrow to the edge of the skin hood, about at the level of her
pupil, and compare it with the much shorter distance in the after picture
between the bottom of her eyebrow and the crease that the upper lid makes just
above the eyelashes.
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Is It Worth Getting my Rhinoplasty? Because I Think my Front Looks Good.
how should it change?
(Questioner submitted photos)
Dr. Denenberg's answer: Often the frontal view changes little in a rhinoplasty
When most of your complaints result from a strong profile view, it's possible to improve that profile while making only tiny changes to the frontal view. See my "Web reference" link for a morph showing how your profile could be changed and some other important info. I brought the tip of your nose back closer to your face, took down the hump, and raised the tip a small amount.
These changes would only affect the frontal view by perhaps having the nose not droop down over your lip quite so much. It makes sense: you can't really tell from the frontal view how big someone's hump is, so it's the profile view that changes more.
Link to this question on RealSelf.com