Hello, I wondered if the tip of the nose could be made to be less protruding? Thank you.
How to Make Nose Tip Less Protruding?
Doctor Answers (9)
Decrasing Nasal Tip Projection
There are so many techniques to decrease tip projection and so many variables that infuence the choice of technique, a complete discussion is beyond the scope of this format. The tip-supporting cartilages can be reduced or the tip cartilages can be repositioned or reduced. Rest assured, this can be done.
Rhinoplasty to reduce nose tip protrusion
It is possible to make the nose tip less protruding by decreasing the projection of the septum of the nose just underneath the tip. It is also possible to sew the tip downwards to de-project it, as well as trimming back the lower lateral cartilages. The nose tip should be in balance with the rest of the nose, so most of the time a full rhinoplasty needs to be performed.
An overprojecting nasal tip can be corrected with a rhinoplasty
Nasal projection (how far the nose protrudes from the face) can be corrected by reducing the cartilage that supports the nasal tip and by using suture techniques to further recess the tip and fix tip rotation. Tip rotation is how far the nasal tip is turned up and this is generally more for a women and less for a man. The bridge of the nose can be adjusted to match the reduced size of the nose with a straight profile or a curved profile, depending on your preference. Sometimes, the nostrils will widen when the tip is recessed, and these can be reduced by excising a small amount of skin at the "corners" of the nostrils to maintain a balanced appearance. Discuss all of the above with your plastic surgeon, and see what his or her approach would be. Look at his or her before and after photos.
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Lots of ways to deproject the nasal tip
There are many reasons a tip can appear like it sticks out too far from the face (overprojection). So there are many ways this problems can be addressed depending on the specific cause. Some examples are:
1. Shorten the length of the tip cartilages
2. Release, reposition, and re-fixate the tip cartilages
3. Separate the tip cartilages from their attachments to the surrounding cartilages and nasal septum.
4. Elevate the bridge of the nose
These are just a few of the methods available. Whatever the technique used, care must be taken to make sure the structures within the nose remain strong, that the air passages remain open, and that the skin envelope drapes properly after the procedure.
De-projecting the tip in rhinoplasty
The short answer is: yes. Deprojecting the nasal tip, as we call it, is commonly done. Several approaches are used depending on what other variables of the nose would also be affected. I'll employ vertical dome divisions, lateral crural overlays, medial crural overlays, reduction of the nasal spine with columellar setback, etc. as the situations call for. Every nose is unique.
Hope this helps,
Protruding noses can be made smaller
There are a number of maneuvers that we employ in rhinoplasty to make the tip of the nose stick out less. This is called reducing nasal tip "projection." I employ an algorithm of procedures from simple to complex depending on how much the tip needs to be reduced as well as the shape and strength of the cartilages in the tip of your nose.
Correction of the overprojected tip can be done.
This can be accomplished by setting the entire tip back or by trimming of the cartilages of the nose. See an experienced rhinoplasty surgeon and look at patients that he has done this on.
Rhinoplasty overprojected tip
I believe what your referring to is an over projected tip. Yes, a rhinoplasty can de-project a nasal tip. Occasionally you may have to bring up the bridge to meet the tip height.
A Rhinoplasty CAN make Nasal Tip LESS Projecting / Protruding
Without several photographs, it is impossible to comment on your particular circumstances. But an over-projecting (protruding) nasal tip CAN and OFTEN IS made less so with a customized rhinoplasty.
Depending on the nose, bringing the tip down will accentuate the curving / flaring of the nostrils which may also require correction.
Dr. P. Aldea
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.