Is my nasal skin too thick for a significant deprojection? How much can you deproject without the nose collapsing? (Photos)

Question

I'm planning to get a septorhinoplasty this year, with my consultations taking place soon. I tried to 3d-scan my face and somehow model the type of nose or rather the amount of deprojection that I am looking for in a procedure but have stumbled across the topic of nasal skin thickness and it affecting how much change can be done on the nose. I am concerned not much can be done about the projection of my nose and want to be prepared to face reality in my upcoming consultations.

Guray Yesiladali, MD, FEBOPRAS · Answer

Deprojection is closely related to the front view, not only the side profile. The simulation you created may appear slightly shorter than what would be ideal for your facial proportions, which could affect the overall balance both in profile and from the front.
In thick-skinned patients, refined tip definition can still be achieved with careful planning. However, the final result usually takes longer to appear because swelling resolves more slowly compared to thin-skinned patients.
A realistic plan should be based on facial proportions, skin thickness and both frontal and profile views together.
I wish you a clear consultation process and a result that feels refined, balanced and natural for your face.
&mdash; Güray Yeşiladalı, MD

Zoran Potparic, MD · Answer

It would be very difficult to give you good evaluation, in particular the skin quality, based on photos only. However, from what one can see, you seem to be a good candidate for septorhinoplasty. In person consultation with a board certified plastic surgeon with experience in rhinoplasty will help you to understand your options. Good luck.

Vidrascu Argentina, MD · Answer

Based on your photos and your concerns, you are asking a very important and realistic question.Nasal skin thickness does indeed play a role in how much definition can be achieved, particularly at the tip. However, when it comes to projection (how far the nose extends from the face), this is primarily determined by the underlying cartilage and structural support &mdash; not just the skin.In your case, from what can be appreciated in the image, your skin does not appear excessively thick, which is a favorable factor. This means that a meaningful reduction in projection is typically achievable. The key is not just reducing projection, but doing so while maintaining proper support and achieving a natural profile.It is also important to understand that over-reduction of projection can lead to an unnatural or “overdone” look, so most experienced surgeons aim for balance rather than maximal change.3D simulations can be helpful for communication, but they are not always fully reliable predictors of the final result &mdash; especially when skin behavior is involved.Overall, you should be reassured that:Projection can be adjusted surgically in a controlled wayYour skin quality does not seem to be a limiting factorA natural, refined result is a realistic goalYour consultation will be essential to evaluate tip support, cartilage strength, and exact skin characteristics, which ultimately guide the surgical plan.

Is my nasal skin too thick for a significant deprojection? How much can you deproject without the nose collapsing? (Photos)

Answers (3)

More Rhinoplasty Questions

Do I have thin, moderate or thick skin on my nose? (Photos)

Rhinoplasty after chin lipo/buccal fat removal - how long should I wait in between procedures?

Do I need an open or closed rhinoplasty? (Photos)

Rhinoplasty-Dorsal Hump Reduction - Osteotomies? (Photos)

Big nose and very deep prominent nasolabial folds - What will improve my nose/mouth area? (Photos)

Reversing fat-grafting into the nose - is rhinoplasty the only option?

WE SEND PRETTY
EMAILS