What might a dispenser do if the segment seems too high to the wearer?

When a wearer feels that the segment height of their multifocal or bifocal lenses is too high, one effective adjustment a dispenser can make is to spread the nose pads apart. This modification allows the frames to sit lower on the wearer's nose, causing the segment to drop into a more appropriate position for viewing.

By increasing the distance between the nose pads, the frame is allowed to slide down the face slightly, thus redefining the angle at which the lenses sit in relation to the eyes. This adjustment can lead to a better fitting experience for the wearer, facilitating easier access to the segment of the lenses designed for close-up work.

The other options may not be as effective for this particular situation. Adjusting the nose pads closer together, for instance, would typically raise the frames on the face, potentially worsening the problem if the segment is already perceived as too high. Therefore, modifying the nose pad distance to spread them apart is a commonly used technique for addressing segment height concerns in lens positioning.