Can most plastic surgeons perform deprojection of a longer nose with thick skin? I’ve been doing my research and haven’t found many photos that show this. Mostly just humps.Would it be better to choose a board certified facial plastic surgeon? I really love the front view of my nose but I’m not satisfied with my side profile view.
Answer: Rhinoplasty Hello! Thank you for your question. As far as I can understand from your question.Having thick skin is not an obstacle for rhinoplasty, but the healing process may take 1.5 to 2 years depending on the thin and normal skin structure. It would be better face to face consultation. Best Regards!
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Answer: Rhinoplasty Hello! Thank you for your question. As far as I can understand from your question.Having thick skin is not an obstacle for rhinoplasty, but the healing process may take 1.5 to 2 years depending on the thin and normal skin structure. It would be better face to face consultation. Best Regards!
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February 18, 2025
Answer: You do not appear to have very thick nasal skin! Based on your photos, you appear to have medium thickness skin, which is some of the most favorable skin to operate on. I can see that you have an overprojected nasal profile appearance, and a tension lip deformity. Rhinoplasty surgery may be considered for achieving a less projected, less distracting, and more feminine nasal profile appearance. If you have any issues breathing, they could be addressed at the time of surgery as well. Please consider meeting with several specialists whose practices focus on rhinoplasty surgery. I hope this helps! Sincerely, Dr Joseph
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February 18, 2025
Answer: You do not appear to have very thick nasal skin! Based on your photos, you appear to have medium thickness skin, which is some of the most favorable skin to operate on. I can see that you have an overprojected nasal profile appearance, and a tension lip deformity. Rhinoplasty surgery may be considered for achieving a less projected, less distracting, and more feminine nasal profile appearance. If you have any issues breathing, they could be addressed at the time of surgery as well. Please consider meeting with several specialists whose practices focus on rhinoplasty surgery. I hope this helps! Sincerely, Dr Joseph
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February 12, 2025
Answer: Reduction rhinoplasty Thank you for your inquiry and for sharing your photographs. In a case like yours, deprojection of the nasal tip would typically require a corresponding reduction in the projection of the nasal bridge, along with a slight increase in the radix to maintain facial harmony. This adjustment can create a slightly elongated appearance of the nose in profile, which is why a degree of nasal tip shortening would also be necessary. While this shortening may subtly influence the contours seen from the front view, the nostril show can remain similar to the current appearance. The extent of deprojection desired will influence the feasibility of achieving the ideal outcome. To facilitate a more productive assessment and provide tailored advice, I recommend a consultation incorporating computer imaging and simulation. This will allow you to define your goals more precisely and receive specific guidance on how the nasal tip’s soft tissue characteristics may affect the projected changes. Overall, a certain degree of deprojection is likely achievable, and combining this with slight nasal tip shortening can create the overall impression of a smaller nasal pyramid.
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February 12, 2025
Answer: Reduction rhinoplasty Thank you for your inquiry and for sharing your photographs. In a case like yours, deprojection of the nasal tip would typically require a corresponding reduction in the projection of the nasal bridge, along with a slight increase in the radix to maintain facial harmony. This adjustment can create a slightly elongated appearance of the nose in profile, which is why a degree of nasal tip shortening would also be necessary. While this shortening may subtly influence the contours seen from the front view, the nostril show can remain similar to the current appearance. The extent of deprojection desired will influence the feasibility of achieving the ideal outcome. To facilitate a more productive assessment and provide tailored advice, I recommend a consultation incorporating computer imaging and simulation. This will allow you to define your goals more precisely and receive specific guidance on how the nasal tip’s soft tissue characteristics may affect the projected changes. Overall, a certain degree of deprojection is likely achievable, and combining this with slight nasal tip shortening can create the overall impression of a smaller nasal pyramid.
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January 29, 2025
Answer: Open rhinoplasty In the frontal view, the width of the base of the nose is normal. However, in the side view, you can see the anterior projection is excessive. You would benefit from reduction of the anterior projection and slightly increasing rotation. You are at 90 degrees and should be at 110 degrees. This can all be done through an open rhinoplasty. Best Wishes, Gary Horndeski, M.D.
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January 29, 2025
Answer: Open rhinoplasty In the frontal view, the width of the base of the nose is normal. However, in the side view, you can see the anterior projection is excessive. You would benefit from reduction of the anterior projection and slightly increasing rotation. You are at 90 degrees and should be at 110 degrees. This can all be done through an open rhinoplasty. Best Wishes, Gary Horndeski, M.D.
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January 29, 2025
Answer: Nasal tip deprojection Hello and thank you for your question. Based on your photographs, you are a great candidate for nasal tip projection. With good surgical technique, you could have an outstanding result. I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag. If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, or all patient selfie’s without real longterm in-office formal pictures that can also be a red flag. Long-term results are much more meaningful than on table results or 1 week post-op results. Selfie’s can also be fun to look at, but these can often have a filter and do not represent true longterm results because of this and are not as valuable as real longterm in-office before and after photographs on your surgeon’s website. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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January 29, 2025
Answer: Nasal tip deprojection Hello and thank you for your question. Based on your photographs, you are a great candidate for nasal tip projection. With good surgical technique, you could have an outstanding result. I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag. If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, or all patient selfie’s without real longterm in-office formal pictures that can also be a red flag. Long-term results are much more meaningful than on table results or 1 week post-op results. Selfie’s can also be fun to look at, but these can often have a filter and do not represent true longterm results because of this and are not as valuable as real longterm in-office before and after photographs on your surgeon’s website. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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