Hard to Deproject a Nosetip ? (photo)

 De-projecting  the overly projected nose and tip is common in our practice and it involves a full closed rhinoplasty technique. The tip cartilages are adjusted appropriately to de-project them , and the dorsal septum is also trimmed along with bone work which includes osteotomies. In addition trimming the caudal septum also prevents columellar show.   Digital computer imaging would be helpful to understand what can be accomplished with your new nose upon your facial features. Please see the link below for examples of noses we have de-projected in our practice

Hi Toast,   It is possible to de-project the nasal tip.  It is not "Rhinoplasty 101" but is an "advanced" rhinoplasty procedure that experienced rhinoplasty surgeons perform.  Do not settle for a rhinoplasty that will not meet your aesthetic goals, and choose your rhinoplasty surgeon most carefully.  Good luck and be well.   Dr. P

     Deprojecting the tip involves lowering the underlying cartilage framework and can create a situation in which you have to make multiple adjustments to retain a refined look to your nose.  Your tip can be made smaller and refined.  The hump can be reduced as well through a closed rhinoplasty approach.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA