When my heart rate is really high for longer periods of time (the picture is 15 minutes after a 5km run so the extreme white in the tip has gone isn't as extreme as while I was running) the tip of my nose and upper lip goes white like there is no blood going to it. This has only happened since my rhinoplasty 9 months ago.
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When the profile is changed (and this is most often a reduction such as removing a bump) the bridge is almost always modified. It doesn't mean that the frontal view must change, but usually there are issues which should be addressed at the same time. When the tip is changed there are always...
Two factors contributing to your disliking here are - 1. Mid face retrusion ie. undergrowth and lack of nasal tip support. I would suggest bony augmentation of piriform ( alar base and columellar base) and use of strut graft for tip support along with other necessary rhinoplasty maneuvers. Chin...