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In this frontal view, we can see that the nose was shortened because the
after picture shows some of the patients nostrils, invisible in the before
picture. In a frontal view, a long, drooping tip will cover the nostrils.
Also, look at the two white dots on the tip of her nose. The white dots
are created by the flashes reflecting off of her tip cartilages. The dots
are about at the level of her nostrils in the before picture, and they're well
above the level of the nostrils in the after picture.
Finally, if you look carefully at the lower edge of the
tip of her nose, you'll see that I narrowed her tip and filled in a little dent that
existed between her two tip cartilages.
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Questioner:
Is There Any Kind of Procedure for my Kind of Nose?
Theres a bit of cartilage at the base of my nose under my top lip which makes my nose and my profile longer (pic 1&3) Can anything be done about this? I think its because of this cartilage which runs from the columella to my bone which cause my nose to be pinocchio-esque. The Nasofrontal Angle is rather small around 100 degrees and in (2) you can see that the alar base is not in-line with columella base, its rather lower. From the front this makes my nostrils more pronounced (4).
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose mainly requires deprojection, bringing the tip back closer to the face
You have a strongly projecting tip, and otherwise many attractive features to your nose. Respectfully, I don't think it's the bone at the base of the nose that makes the tip projecting -- that bone is only rarely the culprit. It's almost always the length and strength of the lateral crura of the tip cartilages that provide the support and strength to overproject the tip. I made a morph to show what your nose can look like after surgery. You need a surgeon who can prove to you that he is expert in deprojecting noses; many, if not most, of the revisions that I perform relate to deprojecting noses that were inadequately projected during the primary operation.
Link to this question on RealSelf.com
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