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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)
Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing.
Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.
I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.
Link to this question on RealSelf.com