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
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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Do I need rhinoplasty/chin implant to get desired look?
I want to fix hump and biggest issue is how long it looks. Would rhinoplasty fix this? Does the tip look like it needs to be fixed?When i look straight ahead I feel like nose looks to wide esp when I smile. Would doing a chin implant at the same time as rhinoplasty help my face look more even and aligned? I think my chin looks weak, or would using something such as fillers in the lips make my profile look better and everything aligned? I included examples of what I want my nose to look like.
(Questioner submitted photos)
Dr. Denenberg's answer: Rhinoplasty can help, but I like your chin as it is now
You have that gentle hump on the bridge, and a tip that could be elevated to make your nose more like the example photos. In the right hands, these are realistic goals for a rhinoplasty. See the Web reference link for an example.
I wouldn't recommend a chin implant. You have a tall chin with good strength, and an implant would draw too much attention to the chin.
Link to this question on RealSelf.com