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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
Views of this rhinoplasty patient:

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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:
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current: Right profile
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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: Is my Nose Way Too Big? Should I Consider Rhinoplasty?
I've always hated my nose. I've never seen another person with a similar nose as mine. I feel its way too big. Should I consider a rhinoplasty :\?
(Questioner submitted photos)

Dr. Denenberg's answer: A wide nose like yours can usually be improved with a rhinoplasty.
From this one photo at least, it does appear that you would be a good candidate for a rhinoplasty. You seem to have strong cartilages that make your nose perhaps wider than average. Your nasal bones, in the upper half of your nose, are also wide apart, and could be brought closer together during the operation. I don’t see a profile view, but it also seems that your nose is long, from where it starts between your eyes down to your tip, and perhaps your profile view could be improved by elevating the tip of the nose at the same time as making the other changes.
 

Link to this question on RealSelf.com



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