Is more augmentation and osteotomy needed to make my nose less flat when looking downward?

January 2, 2024
Asked By:mrquickw in Los Angeles, California

HelIo. I had a rhinoplasty with rib cartilage to reconstruct and I like the profile when my head is looking up or slightly tilted up. I noticed when my head is very straight on camera or looking downward, it's very bulbous. Would more bridge augmentation and osteotomy be needed to improve my downward profile to make my bridge appear more thin and more defined when looking downward? Also, what would make the supratip and tip look less flat? Would defatting the tip a bit be overly risky?

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