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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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She doesn't really have a ball on the end of her nose, even if that's the cliché.  The cartilages that form the tip of her nose are wide, and they overlap each other, giving the impression of a ball.

A wide tip will appear to be a bulge on an oblique view of the nose.  If you put your finger on her nose where it begins, next to the inner corner of her left eye, and run your finger down the edge of her nose, your finger will have to bump out to your right as it follows the bulge around the tip of her nose in this view.  In the after picture, with a narrower tip, that bulge is gone, and your finger would trace a straight line from where her nose begins down to the tip.

Now clean off your computer screen.


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"I was extremely fortunate to have him
perform my primary rhinoplasty. "
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All views of this rhinoplasty patient:
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current: Right oblique
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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: Can my nose be fixed? Will I need additional surgeries to create a balance?
I'm 38 and I've hated my nose for as long as I can remember. To make matters worse, I broke it a year and a half ago and have gained breathing issues on the left side, a sway, a hump, and it seems like an all over thickness. I feel like my features give me a masculine appearance. Can my face be fixed? Will I need to have a chin reduction to create a ballance if I have rhinoplasty? What do you suggest? Cost?
(Questioner submitted photos)

Dr. Denenberg's answer: From the photos, you seem to be a good candidate for a rhinoplasty
See the video link -- I made a modification of one of your images, simulating the changes that can be possible with an expertly-performed rhinoplasty. I elevated the tip of your nose, brought the tip and the entire nose back closer to the face ("deprojecting" it), took down the bump. Your nose is very string where it starts, below your eyebrows, and I believe it would be mandatory to reduce the strength of your nose up there, rather than just taking down the bump, or it wouldn't look right after surgery.

Breathing issues can almost always be addressed at the same time as changing the appearance of the nose.

I don't think you need a chin reduction. Your chin looks great, and chin reductions are very very unpredictable anyway. I think they are best reserved for someone who needs a very large change in the chin size, not something subtle or theoretical.

Link to this question on RealSelf.com