The bones and cartilage in the nose don't actually grow with time, but the cartilages that form the
tip of the nose release their grip on the upper regions of the nose and pull
down and away with gravity. That movement lowers the position of the tip,
making the nose look longer, and thus bigger. Changes in the skin can
also make a nose appear bigger.
She also had a mild convexity of a hump along
the dorsum of her nose.
You can see that the jowl, the droop of skin between her ear and her chin,
was pulled tighter.
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Can my Results Still Be Corrected or is It Not Worth the Risk?
Furthermore, Based on the Pictures What Can Be Done to Improve? Hi, I had an open rhino. about a year ago, I'm really unhappy with the results. I originally had a dorsal hump removed but the doctor put a whole bunch of grafts in my nose also. (I have oily med/thick skin and I think I still have shrinking/swelling left). However, it still looks droopy, long, wide especially when I smile or laugh. How do I find a good dr. that can fix my nose type, my last specialist surgeon had a great "record" but it obviously didn't cut it. Any info would help. Thanks.
(Questioner submitted photos)
Dr. Denenberg's answer: I agree your nose would probably improve if it were shortened
Even on a revision, shortening a nose by raising the tip can be one of the most predictable changes to make. See my "Web reference" link for a morph I made of one of your images.
Shortening a nose like that requires advanced work on the tip cartilages, so be sure your next surgeon has shown you before and after photos of other patients of his whose noses were shortened attractively. Seeing photos is your only way of checking out a surgeon's skill.
Link to this question on RealSelf.com