Nose Surgery: Q&A
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Reducing an Over-Projecting Tip ("Pinocchio Nose")
My doctor has suggested 2 ways to reduce the over projecting tip. 1 way would be to remove a piece from the columella to pull down the over projecting tip. But wouldn't this a) cause my nortils to flare? and b)change the prientation of the direction the tip is pointing in? The other way was to add a piece of cartlidge to the top of my nose between the bridge and tip to reduce the tip inclination. I think my nose already projects too far off my face so I wasn't too fond of that one.
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4 Doctor Answers |
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Elle in NL
in Netherlands
+1
Reducing an Over-Projecting Tip ("Pinocchio Nose")
I usually reduce the nasal dome to a level just a few mm above the dorsum and then reconstruct a new dome. No cartilage is added to the dorsum and no flarring of the nostrils.
Huntington Beach Facial Plastic Surgeon
+1
Reducing an over projecting nasal tip
There are multiple ways to reduce an overprojecting tip of the nose. This involves reducing the anterior projection of the lower lateral cartilages, the dorsal septal cartilage, and potentially even augmenting slight ski slope that is present. Please refer to the link below and look under the rhinoplasty photo gallery, patient #6.
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Tip Projection in rhinoplasty
Dear Elle,
Your surgeon is right about the 2 different ways to address projection. If he/she has computer morphing software, you can be shown what you what your nose would look like using both kinds of techniques. It is best to see this on profile view.
Ideally tip projection is about the same length as the distance between the base of the nose and the upper lip. I cannot tell exactly from your photo which you would need, unless there was a profile view...
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Tip rhinoplasty
The angle of the photo does not allow assessment of your current condition. In order to view tip projection you need a complete side view. Your photo looks down obliquely from the upper left. The desired tip projection is considered to be 2/3 of the length of the nose which in turn is 2/3 of the length of the middle third of the face. The amount that it projects past this is the amount/length of cartilage that is removed from strips of cartilage in the strip of skin between the nostrils to...
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Los Angeles Plastic Surgeon
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