I've already had rhinoplasty to remove a dorsal hump and to lift the tip. I'm going to be having a revision soon. At my most recent consultation I told my surgeon I wanted the tip lifted and deprojected, and also the dorsal hump shaven slightly more. I'm wondering if there is anything else I should have mentioned to make sure I get the results I want. Currently my nose tip is very sharp, pointy and droopy. What I want is a softer, more rounded/blunt nose tip. Can this be achieved and if so how?What changes to the front view of my nose can I expect if I have my nose tip deprojected? For example, can a tip deprojection make the nose tip look wider from the front? Also if the tip is deprojected, can it give the nose a more "blunt" appearance, as opposed to sharp and refined?
Answer: Yes, generally when the tip is de-projected, the tip tends to get a little "rounder". More advice... I like most of what you did with your morph -- you lowered the bump on the bridge and de-projected the tip -- but I'd like to see the tip elevated, too. As I mentioned above, when the changes are made to the tip cartilages to deproject the tip, and elevate it, too, the tip tends to get a little less sharp and a little more round. I'd love for your to see some high-quality morphs of these changes -- it would help you in selecting what you feel is a best goal for your nose. In another question of yours, you asked about excess nostril show from the front with elevating the tip. I don't see that as a problem with your nose. You really have to elevate the tip *a lot* from the profile view in order to get just a small increase in nostril show from the front view. Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision. Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?
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Answer: Yes, generally when the tip is de-projected, the tip tends to get a little "rounder". More advice... I like most of what you did with your morph -- you lowered the bump on the bridge and de-projected the tip -- but I'd like to see the tip elevated, too. As I mentioned above, when the changes are made to the tip cartilages to deproject the tip, and elevate it, too, the tip tends to get a little less sharp and a little more round. I'd love for your to see some high-quality morphs of these changes -- it would help you in selecting what you feel is a best goal for your nose. In another question of yours, you asked about excess nostril show from the front with elevating the tip. I don't see that as a problem with your nose. You really have to elevate the tip *a lot* from the profile view in order to get just a small increase in nostril show from the front view. Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision. Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?
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June 17, 2019
Answer: Would deprojection improve my nose? Would that change the front facing view? I have deprijected the nose in many hundreds of patients and it can soften the tip and make the nose more proportional on side view. Because the skin envelope has to shrink to fit the smaller cartilage framework swelling takes longer to resolve and initially the nose will look wider on front view but as swelling resolves this is rarely a problem.
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June 17, 2019
Answer: Would deprojection improve my nose? Would that change the front facing view? I have deprijected the nose in many hundreds of patients and it can soften the tip and make the nose more proportional on side view. Because the skin envelope has to shrink to fit the smaller cartilage framework swelling takes longer to resolve and initially the nose will look wider on front view but as swelling resolves this is rarely a problem.
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June 17, 2019
Answer: Hot to get a smaller more rounded tip Dear snaplol,Lifting the tip, shaving the dorsum and deprojecting the tip are all the correct maneuvers for achieving the result you are looking forOn frontal view, the nose may look a little wider, but it can also be narrowed with tip sutures. The answer on how the frontal view will change also depends on what you want and what your nose looks likeFrom these photos, I think you will have a very nice resultBest regards,Dr. NimaBoard Certified Facial Plastic Surgeon
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June 17, 2019
Answer: Hot to get a smaller more rounded tip Dear snaplol,Lifting the tip, shaving the dorsum and deprojecting the tip are all the correct maneuvers for achieving the result you are looking forOn frontal view, the nose may look a little wider, but it can also be narrowed with tip sutures. The answer on how the frontal view will change also depends on what you want and what your nose looks likeFrom these photos, I think you will have a very nice resultBest regards,Dr. NimaBoard Certified Facial Plastic Surgeon
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June 17, 2019
Answer: Revision Rhinoplasty For Feminine Nose Hello, thank you for the question, provided information and photos, photos from frontal view is required for assessment. Based on them you seem to have droopy columella as well. It is very crucial that for increasing or decreasing tip projection to produce a tip position that matches an ideal dorsal height .Natural look should be aimed to achieve best result, and nasal tip needs to have strong cartilaginous structural support from the medial and lateral crurae, the nasal septum, the upper lateral cartilages and the nasal spine that can bear the compressive load. A natural and succesful result can be achieved you need to seek a professional, exprienced Surgeon.Best Regards,
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June 17, 2019
Answer: Revision Rhinoplasty For Feminine Nose Hello, thank you for the question, provided information and photos, photos from frontal view is required for assessment. Based on them you seem to have droopy columella as well. It is very crucial that for increasing or decreasing tip projection to produce a tip position that matches an ideal dorsal height .Natural look should be aimed to achieve best result, and nasal tip needs to have strong cartilaginous structural support from the medial and lateral crurae, the nasal septum, the upper lateral cartilages and the nasal spine that can bear the compressive load. A natural and succesful result can be achieved you need to seek a professional, exprienced Surgeon.Best Regards,
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June 18, 2019
Answer: Softer nasal tip Thanks for your question. Your tip and hump can certainly be improved to more or less the degree you demonstrate in the morphed photo. Deprojecting a tip can make the nose look a bit wider on frontal view as well as relieve a tension tip. However, there's more to it from a technical standpoint. To get into the technicalities of the procedure is not necessarily of value to patients but moreso for plastic surgeons in training. Getting you ultimately to your desired goal requires a series of small steps to achieve and in a particular order. Your best bet is to run through it in real time with a qualified and experienced rhinoplasty surgeon in order to understand what that entails. The real question you should be asking is "can my nose go from point A to point B?" Secondarily, knowing the thought process of your plastic surgeon will help you understand what is involved and whether or not your surgeon knows how to achieve it. But that is best done during an in-office consultation. Good luck.Read about Dr. Panossian's rhinoplasty technique.
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June 18, 2019
Answer: Softer nasal tip Thanks for your question. Your tip and hump can certainly be improved to more or less the degree you demonstrate in the morphed photo. Deprojecting a tip can make the nose look a bit wider on frontal view as well as relieve a tension tip. However, there's more to it from a technical standpoint. To get into the technicalities of the procedure is not necessarily of value to patients but moreso for plastic surgeons in training. Getting you ultimately to your desired goal requires a series of small steps to achieve and in a particular order. Your best bet is to run through it in real time with a qualified and experienced rhinoplasty surgeon in order to understand what that entails. The real question you should be asking is "can my nose go from point A to point B?" Secondarily, knowing the thought process of your plastic surgeon will help you understand what is involved and whether or not your surgeon knows how to achieve it. But that is best done during an in-office consultation. Good luck.Read about Dr. Panossian's rhinoplasty technique.
Helpful 1 person found this helpful