Can I deproject my nose without increasing my philtrum? (Photos)

You have exactly the kind of nose that can be de-projected *without* increasing the philtrum. On many projecting noses, the top of the upper lip, where it meets the nose, is pulled onto the bottom of the nose because the nose is so projecting. Then, when the nose is de-projected, that upper lip can relax back, and it can make the philtrum *look* longer. 
The woman in the short video that I posted with this answer had the tip of her nose de-projected a significant amount, and she shows that effect I just described.
But your nose meets your upper lip at a sharp angle, so almost certainly, nothing would happen to your upper lip with the rhinoplasty.
But there is another effect to pay attention to. When the tip and bridge are de-projected, it's important to reduce the strength of the bridge up at the top of the bridge, just in front of your eyes, or just below your eyebrows. If that isn't done, your profile would resemble the profile of a Roman statue, where the profile of the forehead slides right down onto the nose, without that little dip we like to see in front of the eyes. Search for Roman statue profile to see what I mean. Your surgeon must pay attention to that, too.
I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you set a goal for the rhinoplasty that's accurate for your tastes. (Side note: in my opinion, morphs should always be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and only the surgeon has that information and judgment.)
Remember also 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 -- a significant tip deprojection and elevation, and attention to the upper bridge -- 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?

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for rhinoplasty with technique open and elevate the tip to get much better projection.is recommend about procedure of face get a consultation on personal to discuss all about the case.

Hello. Great question. Thank you for your pictures. Based on your images, you can benefit from a rhinoplasty procedure. Your philtrum will not be increased. Please schedule a consultation with a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

You are correct that in some cases a rhinoplasty will make your upper lip seem a little longer.  I have seen this happen from time to time but it is very subtle and patients don’t seem to even notice.  You could have the nose done first and then a lip lift later if you think you need it, but I think lip lifts are not so great so don’t have it st the same time.

Hello and thank you for your question. Based on your photographs, you a great candidate for a nasal tip deprojection to shorten your elongated nasal tip.  You may also benefit from a tip refining rhinoplasty which can be performed by trimming, suturing, and reshaping the cartilage in your lower nose. This will not increase the length of your philtrum.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon.

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Your photos show that you would benefit from a rhinoplasty to reduce your tip projection, the dorsal hump, to lift and refine your tip. This may have an absolute (measurable) or relative effect on the appearance of your philtrum. I can say that about half the lip lifts that I perform have had a rhinoplasty in the past. Therefore your observation is correct. The best picture to evaluate your philtrum is one with your mouth slightly open and the lips relaxed, not smiling. Your teeth are low enough that I suspect, you would show some incisor teeth in that position. The effect of rhinoplasty on the philtrum is sometimes measurable, but most of the time is relative, due to changes in proportions and ratios of the face. What I mean is, some times a smaller nose could make the philtrum appear longer.  A lip lift could correct that situation. A lip lift could also be combined with a rhinoplasty if judged necessary after careful in person evaluation. 

Your nose needs deprojection and rotation at the same time. Your upper lip does not appear long in the limited views that you have posted and your and tooth show seems close to ideal. The positive impact of rhinoplasty on your face, with or without genioplasty, is going to be so significant that you should deny yourself of this surgery because of potential minor change in the lip.

Performing a rhinoplasty will not increase your length of the philtrum.  Best of luck with your decision to move forward.

  The photographs demonstrate an overly projecting nose and an under projecting chin.  The under-projection of the chin makes the nose look even more projecting than it really is based on your facial features.  Your  philtrum is a nonissue.  Consider the combination of the rhinoplasty to decrease the overall projection of the nose and refine the nasal tip and placement of a chin implant augment the chin forward.  This combination will be a significant improvement for facial balance and proportions. Thick skin in the tip of the nose will prevent refinement in that area, so it is important have realistic expectations

Thanks I believe that you need deprojection, possibly through an open rhinoplasty, a goal of which would be to maintain the philtrum. Regardless of whether you add a chin augmentation, reducing the size of the nose is needed for a refined result. I personally do not push for chin augmentation if I think that the rhinoplasty alone can make a significant difference in the facial appearance. Best wishes.