Can you improve nose projection without an implant? (photos)

Question

No fillers either. What I mean to ask is, does bunching up the cartilage as you do when you reduce a bulbous tip makes the nose more aquiline and projected? If you take a look at the picture attached, there's no implant, yet the tip seems more projected. Alar base reduction wouldn't cause that, I assume?

David C. Pearson, MD · Answer

There are several techniques to increase nasal tip projection without implants. They include strut grafts, cap grafts, lateral crural steal techniques, etc. I DON'T usually consider alar base reduction among those as a reliable technique for changing projection, though.The bottom line, fortunately, is that there are many ways of improving tip projection WITHOUT implants or fillers.All the best,--DCPPearson Facial Plastic Surgery

William Portuese, MD · Answer

To increase nose projection during the rhinoplasty procedure, suture techniques are applied to the lower lateral cartilages of the nasal tip and a cartilage graft can also be added to the top of the tip of the dome to increase projection. Synthetic implants are not required.  A Cartilage graft can also be used along the bridge line to add height there is well. For many examples hand more information, please see the link and video below

Kimberly Lee, MD · Answer

There are ways to improve nasal projection without using nasal implants either with cartilage repositioning or with cartilage/tissue from your own body.  However, the amount of nasal projection may be limited if you opt only for cartilage repositioning as your photo suggests.  Please consult with a board certified specialist who can assist you with achieving the results you seek.  3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.

Bryan Friedman, DO · Answer

Short answer....yesit looks like you have done your research.  Tip projection can be accomplished in various ways.  A piece of your septal cartilage can be placed over the tip which will increase projection.  Additionally the lower lateral cartilages can be manipulated as well, advancing them medially to increase projection.  This maneuver is called Lateral crural steal.  Hope this helpsregards

Stephan Finical, MD · Answer

The tip of the nose can have improved projection by either adjusting the cartilage in the tip or by borrowing cartilage from another area to build up the tip.

Can you improve nose projection without an implant? (photos)

Answers (5)

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