Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, combination noses #7

Views of this rhinoplasty patient:

Next patient

Image size is small
show larger

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

"When I look in the mirror,
I am in disbelief at how natural it looks ... "

See all of Dr. Denenberg's reviews on

Interested in morphs?

All views of this rhinoplasty patient:

rhinoplasty 1: Right oblique	rhinoplasty 2: Left profile	rhinoplasty 3: Left oblique

rhinoplasty 4: Right oblique	rhinoplasty 5: Left oblique	rhinoplasty current: Right profile

rhinoplasty 7: Base

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.

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: What steps would need to be taken during my rhinoplasty?
I think I have a unique nose, so I don't necessarily just want the bump gone but I also want the tip to be lengthened. What steps would be taken during the rhinoplasty and what is a possible outcome for my nose?
(Questioner submitted photos)

Dr. Denenberg's answer: I'm not so sure about lengthening your nose
It seems to me that the tip of your nose is strong in its forward projection away from your face, so during the rhinoplasty it might be good to bring it back a little closer. Then, of course, the bump would be removed.

When you bring the tip closer to the face, it makes the nose *look* longer, and also, when a bump is removed, it tends to make the nose *look* longer, and the angle that the bottom of your nose makes is not extremely high at all, so I wonder whether you would have to have your nose lengthened at all! Techniques to lengthen the nose are not as predictable as other changes we like to make, so I like to avoid them if possible.

From the frontal view, it looks as though your tip is quite wide, and narrowing the tip could be important, too. You sent profile and frontal views, but it's the three-quarter views, also called oblique views, that show the width of the tip best.

Finally, all due respect, your cropping didn't even leave all of your nose in the photos! It helps to see the entire nose.

Link to this question on RealSelf.com


	FacialSurgery.com	©Copyright 1996-2018 Steven M. Denenberg, M.D.