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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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"His work on me is just out of this world, masterful. "
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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 candidate for a Tiplasty?
My nose is currently in the pic above i would like it to look like the picture below it....what would require to be achieved? From research i have done i would think it would be a tip rotation and trim....if so...does this procedure require anethesea /would it be cheaper??? Thanks :)
(Questioner submitted photos)

Dr. Denenberg's answer: I think you're right: upward rotation of the tip is the goal
When you are looking for a surgeon, be sure to see before and after photos of patients who have had a successful and substantial upward rotation of the tip. Many of the revision operations that I perform are on patients who needed rotation but didn't get it in their first operation. It's a change that every plastic surgeon cannot accomplish.

Link to this question on RealSelf.com