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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Pay attention to the white dots on the tip of the nose and to the more subtle white highlights on the nose in between her eyes.  Those dots and highlights are reflections from the flash.  The white dots on the tip are just a bit higher in position in the after picture, indicating that the tip of the nose was elevated during surgery.

In the after picture, the white highlights on her nose between her eyes flow down onto the nose a small distance, allowing you to see that her nose is narrow in the mid-dorsum.  In the before picture, you see less of those highlights flowing down the nose, because the before nose is wider and less angular.

The base view of her nose, view 9, also illustrates the narrowing of her nose quite well.


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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: How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)

Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
Hi,
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip.

The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.

Link to this question on RealSelf.com