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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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Questioner:
From a ridiculous extreme long/upward nose, to the other extreme ridiculous long/downward/wide nose
My 3d nose revision...devastated! (At same time: face, neck & lip lifts, fine!). See pre/post op photos plus 2 nose models I gave to surgeon as guidance. But nose is now much longer, wider, downward...Will it look like the nose models after swelling is gone? Doubt it. Wait a year to fix it? No! I’m desperate...Is there somewhere a competent surgeon who can do a shorter nose like my nose models? (I’m 87 but absolutely healthy). Thanks ever so much for your opinions!
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose won't shorten as the swelling subsides
Hi,
Sorry, but it's just vanishingly unlikely that your nose will shorten as the swelling subsides, and certainly it won't shorten to the length of the models' photographs that you submitted.
The good news is that, with correct techniques, it is possible to shorten a nose substantially, even in a revision procedure. The bad news is that you can't jump in and have that operation right away. It may not be necessary to wait an entire year, but the nose needs at least many months to heal first.
Link to this question on RealSelf.com
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