She has a prominent bifidity in her columella. "Bifidity"
means that you can see a dent between the two cartilages that make up the
columella. It's not such an uncommon finding. She probably had it
before her first operation, and it simply wasn't corrected during that first
In this view, you can see more of her nostrils in the before picture.
The nose was tilted up too much, and I attempted to lengthen it during the
revision. A longer nose shows less nostril from the frontal view.
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Is It Possible to Make a Nose Shorter and Less Bulbous with Rhinoplasty?
I have a long nose with a bump and a big tip which I would really like to correct. Is there a way to correct all of these problems at once?
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose is more projecting than it is long
Hi. You have a nose that is strong in its forward projection away from the face. Lessening that strength is called "deprojecting" the nose.
"Length" is the measurement of the nose from where it begins between the eyes, down the bridge of the nose to the tip. So a nose with a droopy tip is "long," but Pinocchio had a "projecting" nose.
Deprojecting a nose involves complicated techniques on the tip cartilages, because it is those tip cartilages that hold the tip out away from your face. Be sure to see before and after photos of other patients whose noses were deprojected by the surgeon you are considering using, so you can see that he knows how to do this operation.
Link to this question on RealSelf.com