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How To You Come To a Decision Regarding the Amount of Reduction for Overprojection?

asked 3 months ago by kenny48
Latest answer by Richard W. Fleming, MD
Question viewed 124 times
Tags: options, projection

In the case of an overprojecting nose, do you decide beforehand a definite number of millimetres to deproject it by (eg 4mm for one person, 6mm for another) or do you just have a general idea and then decide the exact amount during the surgery as you go?

8 answers to How To You Come To a Decision Regarding the Amount of Reduction for Overprojection?

+1

Amount of Reduction for Overprojected Nasal Tip

A surgeon will make a pre-operative decision regarding the amount of reduction of an overprojected tip on the basis of the projection of the bridge, the width of the tip, and the thickness of the skin. It is important to maintain proportion with the other nasal structures as well as other facial features. Find an experienced surgeon and review results in patients with noses like yours.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Rhinoplasty measurements are done BEFORE surgery

The specific amount to remove during a rhinoplasty sure should be decided ahead of time! My process is straightforward but precise, I think. We first use computer imaging to help the patient and I see what would be aesthetically appropriate for their face and their concerns. From that imaging we use some custom software that I've written to determine exactly how much reduction or augmentation is needed at each point on the nose, from the root to the tip. Intra-operatively, I can refer to... more
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

Decisions Made Before Rhinoplasty

I always have a very good idea beforehand. Once the nose is injected and the rhinoplasty started, elements of judgement become very difficult due to swelling and other factors.
Richard Galitz, MD

Miami Facial Plastic Surgeon
+1

Surgeon's eye usually determines

In general, there is not an accurate way to measure how much to set back the nose, or decrease projection. Pre operative computer imaging can be a good tool to aid communication between the patient and doctor. In the operating room, several manuevers can be performed with the nose to determine how much to remove. With experience, the correct amount can be removed in the first attempt. With less experience, it is safer to remove a conservative amount and take more if you need to. In general,... more
John Alexander II, MD

San Diego Plastic Surgeon
+1

Decisions during rhinoplasty

There are ways to approach rhinoplasty by millimeters and proportions, and many of us will plan the dorsal reduction, and rotation by the numbers. For example the nasal length to projection is 1:0.67. The final decisions come down to the 'look' and balance of the nose overall. We find computer imaging and planning important to see ahead how things will work out, and to set a goal in mind. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

How To You Come To a Decision Regarding the Amount of Reduction for Overprojection?

How a plastic and cosmetic surgeon comes to a decision on how and what is done during any procedure or surgery, including Rhinoplasty depends on his/her sense of the aesthetics of beauty. The most important factor in selecting your plastic and cosmetic surgeon for Rhinoplasty, Botox, Restylane, Face Lift or any other treatment to make you more attractive, IMHO, is their ability to understand and follow the proper aesthetics of facial beauty for the creation of a naturally, more... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty to improve facial appearance.

Rhinoplasty to improve facial appearance depends on many factors including deprojection of the overprojected nose, including skin thickness, cartilage strength, etc. In general, good surgeons know roughly how much they want to deproject a tip along with the other variables before surgery.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Tip rhinoplasty

Before surgery the surgeon has to examine the patient, measure the facial proportions and then plan the surgery. In general we want the bridge length to be 2/3 of the midface height and the projection of the tip out of the plane of the face to be 2/3 of the bridge length. That gives the patient aesthetic proportions. When we have those numbers we know how much to add or subtract from the medial crura (part of the tip cartilage in the strip of skin between the nostrils) to achieve the desired... more
Aaron Stone, MD

Los Angeles Plastic Surgeon

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