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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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