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In these photos we see another clue, that his nose is
over-projecting. In the after photo, draw these two imaginary lines: a
mostly-horizontal line drawn along the base of his nose, and a line drawn along the skin from the
base of his nose down to his upper lip. Those two lines meet at a sharp
angle. In the before picture, however, they don't. The line that traces the
skin of his upper lip curves forward to meet the bottom of his nose in the
before photo.
If you grab the tip of your nose and pull it forward, making your nose more
projecting, your upper lip skin
will do the same thing. When the upper lip skin pulls forward like that,
we call it "tethering of the upper lip," and it's usually an
indication that the nose is a projecting nose.
The rhinoplasty section of the Surgery tutorials contains a chapter
that discusses the phenomenon of upper lip tethering (the surgery tutorials contain explicit photographs taken during surgery).
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Questioner:
I Am Considering Having Rhinoplasty. However I Am Unsure As to What Results I Can Expect?
I am considering having rhinoplasty. I am currently researching doctors in the area to find which ones seem to do the best work. I would like to know what type of results I can expect in order to go in informed when I speak with them. I am not looking for a dramatic makeover, just some refining of the nostril area. Can I do this with just a tip plasty? (Questioner submitted photos)
Dr. Denenberg's answer: Your nose requires expert work on the tip. Be certain to see before and after photos
Hi. In many noses, work on the tip is most of the work that is done, so in your case there isn't really a meaningful difference between a "tip plasty" and a "rhinoplasty." See my "Web reference link for some morphs of your before and after photos. You have strong tip cartilages that show left and right prominences on your tip. The cartilages also make the columella, the piece between your nostrils, droop some, and they hold the tip of your nose out away from your face. Your nose requires real expert work on the tip to correct these features. It's crucial that you see before and after photos of the patients of the doctor you are considering, where wide or prominent tips were corrected. This is not something that every plastic surgeon can accomplish, and a diploma won't give you the answer -- only seeing the doctor's other patients will tell you if he has the skill.
Link to this question on RealSelf.com
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