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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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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.


next view of this patient

"I always thought that having a beautiful nose
would make me feel better,
but I could never imagine that
it would change my life. "
See all of Dr. Denenberg's reviews on

 

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All views of this rhinoplasty patient:
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current: Right profile
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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: Am I a Rhinoplasty Candidate with My Wide, Bulbous Tip?
I have always hated the tip of my nose. The bridge is a little wide and has a bit of a bump, but I would be satisfied with just a reduction in the tip. It's very wide and bulbous. It looks fine from the profile view, but front on it's very.. unattractive. Is there a way to have it reduced without too drastic of a change? I do not want a narrow, pinched look. It also tends to swell in cold, heat, or with allergies. Are there nonsurgical options too?
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, a rhinoplasty should help with your wide tip
I agree that the bridge is a little wide, too, but mainly work on the tip cartilages could help achieve your goals of narrowing the tip. 

Be sure to discuss all of the details that you care about with your surgeon, and be sure to see before and after photos of his other patients, specifically patients who have had correction of wide tips.

Note that a profile before-and-after, where perhaps you see a hump removed, doesn't tell you anything about how the surgeon handled a wide tip: it's the three-quarter, or oblique, views, that shows you whether a tip has been narrowed.

Link to this question on RealSelf.com



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