Those of you who are very observant are wondering why he shows more nostril
in the before picture than in the after picture. More nostril usually
means that the nose is shorter, but the nose wasn't lengthened during surgery,
to decrease the amount of nostril shown.
The answer is that the work to bring the tip cartilages closer together and
to decrease his columellar show tucked up the base of his nose and changed
the curves of skin around the tip enough to partially hide the nostrils.
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)
Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip.
The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.
Link to this question on RealSelf.com