Deprojection: How Much Mm in General?

Question

When the nose is going to be de-projected (male) by surgery, how many mm is the nose going to get shorter in average/general cases? Is it possible to get the nose 4-5 mm shorter, does this happen? Is it possible to get a 31mm nose at the end, when it was 35mm before? Does open vs closed has something to do with it, as in how mm deprojection is possible?

Ali Sajjadian, MD, FACS · Answer

Hi,

	De-projecting a nasal tip can be pretty extreme and 4-5 mm de-projection is certainly possible

	However, the main determining factor of how much de-projection can be done is how much of nasal tip skin is over-projecting.

	Without photos and physical examination, it is hard to determine the appropriate measures to be taken in your case so your nose will best fit your facial features.

	Tip de-projections often involves additional medications to make sure that your nose remain natural-looking and that it fits appropriately within the overall dimensions of your face.

	That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.

	
	I hope this helps and please feel free to check the website below.

	Thank you for your inquiry.
	The best of luck to you.

	Dr. Sajjadian

Umang Mehta, MD · Answer

The nose can be deprojected through either open or closed rhinoplasty and 4-5 mm is certainly possible. There are various ways to deproject the nose including overlapping the lower lateral cartilages between the nostrils, above the nostrils, or both. The septum of the nose can also be shaved back. The tip can be rotated (turned up) or counter-rotated (turned down) or kept where it is, such that the angle between the upper lip and tip remains constant. In my practice, I generally use the open rhinoplasty approach when tip work is required. The tradeoff of a tiny, well hidden incision between the nostrils is worth the improved visualization, access, and predictability, in my opinion. 

	I feel computer imaging is a very helpful process during the rhinoplasty consultation, to demonstrate to patients how the nose would look if it were deprojected, rotated, lowered etc. Once we have decided upon a mutual aesthetic goal, I print these images and post them on the wall during the surgical case, to use as a template. This is a critical part of the surgical planning in my practice and I use this for every primary and revision rhinoplasty. 

	Best regards,

	Dr. Mehta

Thomas A. Lamperti, MD · Answer

Pretty extreme changes in projection are possible. The limitation is usually more of one related to how much the overlying nasal tip skin can shrink wrap appropriately around the smaller nasal structure. Thicker skin won't shrink wrap as well as thinner skin.

Deprojection: How Much Mm in General?

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Deprojection: How Much Mm in General?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.