Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, large tip noses #10

Views of this rhinoplasty patient:

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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:

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

rhinoplasty 4: Left profile	rhinoplasty 5: Left oblique	rhinoplasty 6: Right oblique

rhinoplasty current: Frontal	rhinoplasty 8: Right oblique	rhinoplasty 9: Left oblique

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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What Can Be Done to Improve my Nose ?
I have always hated my nose, im a very pretty girl and my nose just takes away from it. My nose is uneven, there's a dent right in the middle of the tip of my nose and I don't remember when it got there or how but I didn't have it last year. And i hate my projection. I want my nose to be in line with my lips, Can you please tell me what can be done to correct this news of a nose ? What expectations are realistic ?
(Questioner submitted photos)

Dr. Denenberg's answer: Narrow the tip, deproject (slightly), fill in the dent
It seems to me that one of the main issues of your nose is the width of the tip. That's related, of course, to the strength of the two cartilages that form your tip, and the space between those two cartilages can show up as a dent if the cartilages are strong. See my "Web reference" link for a morph and an animation showing how your nose might look after surgery.

In the morph, I also brought the tip of your nose back toward your face. You didn't provide an exact profile view, which view shows the projection best, but from the three-quarter, it seems that some of the strength of projection might be related to the width of the tip, which can *look* like excess projection on that three-quarter view. I think the morph might make that clearer.

When looking for a plastic surgeon, you need to see before and after photos of tip work, because that's the hardest part of the operation. At least I think so!

Link to this question on RealSelf.com


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