Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, combination noses #7

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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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All views of this rhinoplasty patient:

rhinoplasty 1: Right oblique	rhinoplasty 2: Left profile	rhinoplasty 3: Left oblique	rhinoplasty 4: Right oblique

rhinoplasty 5: Left oblique	rhinoplasty current: Right profile	rhinoplasty 7: Base

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Questioner: Am I a Rhinoplasty Candidate with My Wide, Bulbous Tip?
I have always hated the tip of my nose. The bridge is a little wide and has a bit of a bump, but I would be satisfied with just a reduction in the tip. It's very wide and bulbous. It looks fine from the profile view, but front on it's very.. unattractive. Is there a way to have it reduced without too drastic of a change? I do not want a narrow, pinched look. It also tends to swell in cold, heat, or with allergies. Are there nonsurgical options too?
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, a rhinoplasty should help with your wide tip
I agree that the bridge is a little wide, too, but mainly work on the tip cartilages could help achieve your goals of narrowing the tip.

Be sure to discuss all of the details that you care about with your surgeon, and be sure to see before and after photos of his other patients, specifically patients who have had correction of wide tips.

Note that a profile before-and-after, where perhaps you see a hump removed, doesn't tell you anything about how the surgeon handled a wide tip: it's the three-quarter, or oblique, views, that shows you whether a tip has been narrowed.

Link to this question on RealSelf.com


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