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Can Rhinoplasty Give Me the Refinement and Tip Projection I Want?

asked 2 years ago by jawregret in Toronto
Latest answer by William Portuese, MD
Question viewed 1,403 times
Tags: nose, male, tip

I would like to achieve the following from rhinoplasty. The current picture is on the left and the desired result is on the right. Is it possible?

14 answers to Can Rhinoplasty Give Me the Refinement and Tip Projection I Want?

Asian rhinoplasty and tip projection

You have done a very appropriate job on your computer imaging. Not only do I feel that you are an excellent candidate for rhinoplasty based on your original nasal appearance, but, you have shown through your morphed image exactly what your ideal nose should look like. The changed nose that you have provided is entirely within reason in the hands of a good surgeon and the fact that you have provided the outcome should make the surgeon comfortable that you clearly know what you want and your... more

Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon

Augmention Rhinoplasty

This is absolutely possible. To maintain the projection in your nose the surgeon has to re-support your tip with a strut graft. For augmentation, there are many material available including your own cartilage. My preference is a custom carved silastic implant, each surgeon will have his/her own preference. Best of luck, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Augmentation rhinoplasty should give you the results you want

As other have said, great job with photoshop - it makes your desired result very apparent. You demonstrate 2 basic things with your desired post-op photo; augmentation of the dorsum (bridge) and increased projection of the nasal tip. It's very possible to do this with an open rhinoplasty and utilization of cartilage grafts. Your best bet is consultation with a board certified plastic surgeon or facial plastic surgeon. Best of luck.

Sam Jejurikar, MD
Dallas Plastic Surgeon

Realistic Changes Changes in the Nose can usually be Realized

Might I start off by saying that your computer imaging skills are very good. That being said, the changes you are seeking are very attainable. As the other physicians pointed out, this is an augementation rhinoplasty approach (building up the nose). Cartilage grafts would be my choice for you. They can be taken from either the septum or one of the ears. I prefer this over silicone or goretex, as it has a lower complication profile. A graft on the bridge and another on the tip (probably an... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Rhinoplasty in Asian patient

What you are depicting here is a fairly typical Asian and sometimes African American rhinoplasty. For these patients we usually augment the dorsum, meaning increase your bridge projection, using cartilage, Goretex, or silicone grafting. To Increase tip projection and definition, we use further grafting, usually with the same choice of materials. Your results and expectations are very realistic. Make sure you find an experienced rhinoplasty surgeon who does ethnic rhinoplasty well, and... more

Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon

Likely fixable with rhinoplasty

Although I don't have the hesitation that some of my colleagues may have with injectable fillers, the nose you've shown here would probably be better served with a proper surgical open-structure rhinoplasty. I am not a big fan of silastic in the nose, but it has been better tolerated in patients of Asian descent than those of other backgrounds. Augmentation of the dorsum (the bridge) and the tip with cartilage grafts from the patient's own cartilage usually provides the best and safest... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty on Asian patients can yield excellent results

You basically did what I and many rhinoplasty surgeons do during a consultation; computer imaging. No two patients are alike, nor can people always be categorized into groups like "Asian rhinoplasty." However you demonstrated what is a general principal of Asian Rhinoplasty: to increase tip definition and projection. Projection is how far the tip sticks out from the face. This is accomplished by using grafts of your own cartilage to strengthen the tip of your nose. Often we also... more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Rhinoplasty and dorsal augmentation

Excellent job with the photo! I believe the correction you are depicting can be achieved. However, you certainly will get different opinions on how to do it and it is difficult to say what is the best. Options for you include" rhinoplasty (open or closed) with: fillers autogenous cartilage (septum, ear or rib) autogenous bone (skull or hip) implants (silicone, gortex, medpor, etc) Other miscellaneous techniques Your best bet is to meet with a qualified surgeon to discuss the... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Asian rhinoplasty

When it comes to Asian rhinoplasty, increasing tip projecting with cartilage grafting is possible and your photo on the right is realistic. When it comes to refinement of the tip, this would have to be evaluated with a front view. Typically, refinement is more limited as there is typically very little cartilage to reduce in order to create a more refined tip. In addition, due to thicker skin, the changes that are made are not usually visible through the thicker skin envelope. By elevating... more

Ran Y. Rubinstein, MD
Manhattan Facial Plastic Surgeon

Rhinoplasty for refinement and tip projection

Yes, according to the pictures, it is possible to build the desired nasal bridge shown in your photo. The type of implant that we use for this type of augmentation is a synthetic implant made of Silastic plastic called the Flowers nasal dorsal implant manufactured by Implantech. This is placed along the nasal bridge to augment the nose during the rhinoplasty procedure under general anesthesia in our outpatient surgery center.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Can rhinoplasty give the refinement & tip projection I want?

The amount of tip refinement and projection that can be achieved depends on many factors, i.e., the original shape of the tip, the thickness of the skin, any previous tip surgery, the age of the patient, the desires of the patient and the experience of the surgeon. Tip refinement and projection can be achieved on a youthful patient, with average skin thickness and no previous surgery or congenital nasal deformities, i.e., cleft lip nose, etc. However, both can usually be achieved to some... more

Jack P. Gunter, MD
Dallas Plastic Surgeon

www.rhinoplasty-usa.com

Augmentation rhinoplasty

It looks like you wish to have a bit more volume on the dorsal aspect of the nose and more projection of your tip. This is certainly possible. Every surgeon has his or her own preference regarding technique and materials. My personal preference is an open approach (an incision in the columella) with placement of either part of your septum or a silastic (synthetic) graft. When you see your surgeon for a consultation, you should take along your photos and ask to see pictures of other... more

Nina S. Naidu, MD
New York Plastic Surgeon

Tip Projection In Asian Nose

It is possible to achieve it with rhinoplasty using cartilage from your nasal septum or your ear. It appears that you have realistic expectations. Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Rhinoplasty to achieve refinement and tip projection

What you depicted in your "photoshopping" is a mild increase in tip projection and a dorsal augmentation. Both can be achieved with an augmentation rhinoplasty. As a matter of fact this is one of the commonest forms of rhinoplasty in the Far East. There, a lot of surgeons Plastic (and otherwise) place L shaped silastic implants to achieve this result. (Although it often does last longer in Asians, eventually such implants thin the skin and erode through it). Although other implants... more