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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.


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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: My Nose Profile Has These Awkwards Lines. How Can This Particular Problem Be Fixed?
Depending on light and shadow, they are more or less evident, making my nose creepy. Also, I've been wearing glasses since I was 10 - I'm 20 now. Can these marks be a consequence of wearing glasses?
(Questioner submitted photos)

Dr. Denenberg's answer: The lines may adjust when the shape of the nose is changed, if that's a priority for you
Hi. It's never predictable how the skin will drape and fold over the nose. Were you thinking of changing the shape of your nose, too? If that were done, the folds might redrape in a way to make them less conspicuous, though it's not really predictable. See my "Web reference" link for a morph of a proposed change to your nose.

I brought it back closer to your face, raised the tip a small amount, and lowered the hump. Those are typical changes that patients request. You can see how that would change how the skin has to drape on your nose, and maybe for the better.

As far as changing the lines if you don't want to change your nose, I don't really encourage fillers, for example. I would probably just leave them alone.

Link to this question on RealSelf.com



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