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There are many reasons a tip can appear like it sticks out too far from the face (overprojection). So there are many ways this problems can be addressed depending on the specific cause. Some examples are:1. Shorten the length of the tip cartilages2. Release, reposition, and re-fixate the tip cartilages3. Separate the tip cartilages from their attachments to the surrounding cartilages and nasal septum.4. Elevate the bridge of the noseThese are just a few of the methods available. Whatever the technique used, care must be taken to make sure the structures within the nose remain strong, that the air passages remain open, and that the skin envelope drapes properly after the procedure.
The short answer is: yes. Deprojecting the nasal tip, as we call it, is commonly done. Several approaches are used depending on what other variables of the nose would also be affected. I'll employ vertical dome divisions, lateral crural overlays, medial crural overlays, reduction of the nasal spine with columellar setback, etc. as the situations call for. Every nose is unique.Hope this helps,--DCP
There are a number of maneuvers that we employ in rhinoplasty to make the tip of the nose stick out less. This is called reducing nasal tip "projection." I employ an algorithm of procedures from simple to complex depending on how much the tip needs to be reduced as well as the shape and strength of the cartilages in the tip of your nose.
This can be accomplished by setting the entire tip back or by trimming of the cartilages of the nose. See an experienced rhinoplasty surgeon and look at patients that he has done this on.
It is possible to make the nose tip less protruding by decreasing the projection of the septum of the nose just underneath the tip. It is also possible to sew the tip downwards to de-project it, as well as trimming back the lower lateral cartilages. The nose tip should be in balance with the rest of the nose, so most of the time a full rhinoplasty needs to be performed.