Closed Rhinoplasty to deproject/ reduce length of a long ethnic nose? (Photo)

Hello and thank you for your question and the pictures. You actually have a difficult problem. To properly address your nose and improve your facial balance, you would need an open rhinoplasty with nasal tip deprojection to improve the overall harmony of your different facial features. Only the open approach would allow for all the maneuvers needed during surgery to achieve your goals for your nose.

This truly a surgery of millimeters- and tip deprojection is one of the most technically challenging surgical techniques! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Based on your profile photo, you appear to have relatively thick nasal skin with an overprojected and droopy nasal tip appearance and a profile hump. I think your list of expectations is reasonable. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after well executed surgery. Hope this helps! Sincerely, Dr Joseph

Hi from Istanbul! It is entirely feasible to achieve deprojection using a modern closed rhinoplasty approach. Whether through an open or closed rhinoplasty, the necessary adjustments, as you've described, can be effectively accomplished in your case. Therefore, I would advise you to pick the surgeon you feel most comfortable with and leave the surgical planning to them. Best of luck!

If a particular surgeon has years of experience with closed rhinoplasty and you see photos of his/her work and you are happy with what the results are, then it can be done. Many surgeons that utilize only open techniques will tell you it can't be done closed. Open or closed is not important - the scar heals great. The most important thing is the experience of the surgeon and if the before/after photos are something that you really like.

I do not recommend the closed approach when there is any significant change in tip position, including shortening, deprojection, and significant changes in rotation. Open rhinoplasty allows for direct visualization, precise changes in tip position and stabilization of the tip in the right place, redraping of the skin and soft tissue to match the new framework created during surgery, and release and restoration of the Pitanguy's ligament which acts as a leash on the tip of the nose and is implicated in supratip deformity after closed rhinoplasty.