• Rhinoplasty
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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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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 it possible to change just the tip of my nose?
Is it possible to change just the tip of my nose without touching the bridge ? I don't want to get a small nose cause I know it won't suit my face. Thank you.
(Questioner submitted photos)

Dr. Denenberg's answer: It *is* possible to change just the tip, but ...
... when you change the tip of the nose, you also change how the rest of the nose looks, adjacent to the new tip, and often there are some adjustments to the rest of the nose that also make sense.

For example, the modification that I made in the video link below shows elevating and narrowing the tip of your nose. It's still strong in its forward projection from your face, but I reduced the strength of the bridge of the nose just a little bit, to match the tip.

It's the rare nose where you can work only, only on the tip, and still get an excellent result.

That make sense?

Link to this question on RealSelf.com



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