I'm interested in a rhinoplasty but I fear that if I deproject the tip of my nose it will increase the length of my philtrum (I've seen this in many before and afters with patients that have similar features as mine). In my photos you can see that my philtrum is already quite elongated, I believe if It were to increase even slightly that it will make a huge impact. What is suggested? Will a chin aug make it so I don't have to deproject? I'm not interested in lip fillers for shortening philtrum.
August 4, 2019
Answer: Rhinoplasty 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.
Helpful 1 person found this helpful
August 4, 2019
Answer: Rhinoplasty 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.
Helpful 1 person found this helpful
November 5, 2020
Answer: Rhinoplasty 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
Helpful 2 people found this helpful
November 5, 2020
Answer: Rhinoplasty 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
Helpful 2 people found this helpful