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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Beverly Hills Doctors versus New York Doctors sense of aesthetics.
Hi, I am going to have a revision rhinoplasty soon. I am a male and I do not want my nose to look "done." Several people have told me that Beverly Hills doctors prefer a more "done" look than NY doctors. They say it is the style differences of the 2 cities. Is this true?
(Questioner submitted photos)

Dr. Denenberg's answer: Geography has nothing to do with the results of a rhinoplasty
Hi! Beverly Hills has surgeons who can give you a beautiful, natural nose, surgeons who will give you a nose that looks "done," and surgeons who shouldn't be operating on noses at all. New York City has all three kinds of surgeons, too. You pick a surgeon based on whether you like the results he has been able to accomplish for others, not on his location.

Link to this question on RealSelf.com