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The tip can really only be elevated and refined with a rhinoplasty. This can be done closed without any visible scar.Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
The hook on the bridge is composed of both bone and cartilage along with the hump. Once the entire bridge line has been shaved down, osteotomies of the nasal bones will be required to prevent an open roof deformity or flat top nose. For many examples and our virtual rhinoplasty app, please see the link below