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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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"Thank goodness I did not let the idea of travel
stand in the way of my going to him for surgery! "
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: What procedures will feminize my face?
Just from looking at my pictures, which procedures do you think will help improve and feminise my face? If you want to know more about my stature, I'm 19 years old, 5'9 and 140lbs.
(Questioner submitted photos)

Dr. Denenberg's answer: Feminize my Face
Hi Louise.  Rhinoplasty may be one option.  A "smaller", "thinner" nose may be considered more feminine.

Link to this question on RealSelf.com