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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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).


next view of this patient

"...his results are consistent and incredible. "
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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: Will Fixing Bulbous Tip Make the Nose Look Thinner?
I have a bulbous tip nose. I want to get my nose to have a normal tip but also want it to look thinner. If I get the bulbous tip fixed, will my nose automatically look skinnier?
(Questioner submitted photos)

Dr. Denenberg's answer: The tip and the bridge can be narrowed at the same time, but using different techniques
Hi,
The work done during surgery to narrow the tip of the nose won't change the appearance of the upper part of the nose -- that part can also be narrowed, as a different part of the operation.

Careful, though, because narrowing a nasal tip is an advanced technique, and you should see before and after photos, before selecting your doctor, of other patients who specifically had their nasal tips narrowed. A profile view won't show that to you; it's the angled views, like the one you posted, that show the width of the tip.

Link to this question on RealSelf.com