Nasal Tip Deprojection with Thick Skin (photo)

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.

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