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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What is Wrong? What Should I Do Next? Revision Rhinoplasty 21 Months Ago?
My initial operation left me being unable to breathe through my left nostril. My nose looks ok from profile but facing on, very wide and a small piece of cartilage??is poking out mid bridge on the right side! Should my nose be this wide after grafts? Initially my nose was slim with a bump. I would be grateful for some advice. Thankyou
(Questioner submitted photos)
Dr. Denenberg's answer: That bump can be removed, and your nose might benefit from a profile adjustment, too
I see the areas that you complain of. If you have grafts in the nose, and it is hard cartilage that is causing the bump on the right side and the excess width, it can be predictable to narrow the nose by removing or adjusting the offending graft. You probably also have some scar tissue under the skin that could be trimmed. See the Web reference link for a digital modification of your photo showing the improvements.
I personally think your profile could be made more natural as well. The tip of your nose is projecting forward, beyond the line described by the bridge of your nose. I'd like to see the tip of your nose closer to your face, and the very bottom of the nose tucked up a small amount to decrease the amount of the inside of your nose that is visible from the side view. I made a modification of that view as well. Bringing the tip of the nose back closer to the face is one of the most predictable changes in revision rhinoplasty, in competent hands.
Link to this question on RealSelf.com