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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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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: Is rhinoplasty like this possible or doable?
I used a projection app to tweak how my side profile looked and I was wondering if in theory a rhinoplasty like the one in the picture could be performed? I've looked through rhinoplasty before and afters and I haven't found one quite like this.
(Questioner submitted photos)

Dr. Denenberg's answer: Deprojecting a tip is rather predictable, in the right hands.
Yes, deprojecting a tip is very possible. Before selecting a plastic surgeon, you need to see photos of other patients of his who have had successful tip deprojections. It's an advanced technique that not every plastic surgeon can accomplish. See the Web reference link for an example.

Link to this question on RealSelf.com