What can I do to get a softer, more rounded nose tip? Would de-projection be visible from a front-facing view? (photos)

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.

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?

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

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,

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. 

Revision rhinoplasty is more difficult than a primary rhinoplasty due to the fact that there's been previous alterations to the normal anatomy and scar tissue present. A closed rhinoplasty approach can accomplish  shaving down the dorsal hump, narrowing the bridge line and softening the nasal tip. All the incisions are placed on the inside of the nose, and there's also no painful packing required.

Your goals are very reasonable , including setting back your entire profile and lifting the hanging columella (the strip between your nostrils). I cannot comment on the appearance from the front without more pictures.