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The tension nose is likely the result of overgrowth of the septum leading to a high bridge and overly long nose. The high bridge is usually a large, bony, cartilaginous hump. The excess length leads to the tip drooping down and often a short upper lip. Not only does the tip droop downward, but it is usually over-projected or in other words, protrudes excessively from the face. The tension nose deformity is addressed by taking down the excess height of the bridge, setting the tip back and often rotating the tip up. Also included, is addressing the shortened upper lip which usually requires removal of some of the neighboring septum. Setting the tip back can lead to an excessive flare of the nostrils. Anticipating this consequence prior to surgery, allows Dr. Hubbard to discuss with each patient ahead of time the possibility of correcting the wide ala or nostril margin during the procedure.
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