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Steven M. Denenberg, M.D.
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Okay, what can we see from this view?  Her nostrils appear to be about the same, so we didn't change the length of her nose significantly.  We know from the other views that we removed a hump, and perhaps we can see a little of that from the difference in the shadowing along her dorsum between the before and after pictures.

There are two changes that we can see here.  The tip was narrowed, so if you look closely, you'll see that the prominences of the tip cartilages were reduced, and you can barely see the improvement in the contour of her columella.


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All views of this rhinoplasty patient:
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current: Frontal
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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: I Want to Get the Bump Removed from my Nose, but Would I Need to Reconstruct the Tip of my Nose As Well?
(Questioner submitted photos)

Dr. Denenberg's answer: Working on the tip would allow your nose to get shorter and closer to your face
Hi. While the hump is the most prominent feature on your nose, if it is removed and nothing else is done, you probably would feel that your nose is still too large. 

When a hump is taken off of the nose, the nose often looks longer, and your nose starts out sort of long-ish anyway. In the morph, besides lowering your hump, I also shortened your nose by raising the tip, and I brought the tip of the nose back closer to your face. 

It's not a bad thing to work on the tip. In fact, it's rare to find a nose that *only* requires work on the hump. Still, work on the tip comprises the most advanced techniques in rhinoplasty, so you must insist on seeing before and after photos of your doctor's patients who had their tips elevated or brought closer to the face, so you can see that he was able to achieve for someone else exactly what you want for yourself.

Link to this question on RealSelf.com