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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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