Does deprojecting the nose lengthen and derotate the nose? (photo)

I want extra length and derotation. Can deprojecting my nose add some extra length like in this before and after photo? How much derotation can I get from a couple of millimeters of deprojection?

Doctor Answers 6

Rhinoplasty Consultation to answer your Questions

Dear Labrador90210, You have many many posts on realself with questions and these can all be answered very cohesively with a consultation appointment with an expert in rhinoplasty surgery. With your input of your desired result the surgeon can show you the possibilities of what rhinoplasty will provide and then discuss in length with you the techniques that will be used to attain those results. Best regards, Michael V. Elam, M.D.


Orange County Facial Plastic Surgeon
5.0 out of 5 stars 199 reviews

Complex interplays in rhinoplasty

Deprojection of the tip and/or upper 2/3rds of the nose can derotate the tip and create the appearance of increased overall length.  However, it doesn't necessarily have to do that.  There can be some linkage in terms of cause an effect but these can be manipulated either way.

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 51 reviews

Deprojecting, lengthening, other techniques of rhinoplasty?

you are approaching your problem the wrong way. Instead of trying to figure out these measurements etc. go to a very experienced rhinoplasty surgeon who does noses that you like and explain to him exactly what you would like to have accomplished. This will give you a better chance of getting what you want. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

Does deprojecting the nose lengthen and derotate the nose?

Dear labrador

lenghtening and derotating the nose are more technically advanced than deprojecting. They are maneuvers that can be done independent of each other. Having said that, when deprojecting, de-rotating can be accomplished with better control and predictability. look for an experienced surgeon as what you are asking for is different than the usual routine reduction rhinoplasty. take your time and find the right surgeon.

Afshin Parhiscar, MD
Bay Area Plastic Surgeon
4.9 out of 5 stars 49 reviews

Rhinoplasty candidate

It's very important to find a rhinoplasty surgeon whose results that you like, rather than worried about length, projection, and de-projection and de-rotation. The nose is a three-dimensional structure, so it's very important to look at it in three dimensions, not only from the side profile view. Rhinoplasty is also the most difficult procedure to perform correctly in the entire field of cosmetic surgery and it is very complicated.. It is very important to have realistic expectations about what can and cannot be accomplished with the procedure. Digital computer imaging performed in the office setting would also be helpful to get an understanding of what you're trying to accomplish.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Effects of deprojection on the nasal profile

Good morning Lab!  Lengthening of a nasal profile can require specific attention to the position of the tip.  While you are right that deprojectiin may lead to a longer appearing profile, often the tip needs to be counter-rotated with specific techniques.  The surgeon and patient may choose to deproject the tip with or with OR without tip rotation change. The best way to know if these techniques are right for you is to have a consultation with an experienced rhinoplasty surgeon with 3D imaging. Good luck. 

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
4.2 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.