Is deprojection of nose difficult as a revision on previous work?

Question

I am currently looking at getting revision rhinoplasty as I have a nose that is too long for my face and would like to reduce its projection. I had original rhinoplasty 20 years ago and wanted to know if deprojection of one’s nose was difficult surgery to undertake as a revision on previous work?

Steven M. Denenberg, MD · Answer

Deprojecting a nose on revision shouldn't be that difficult, other than *any* revision being a difficult operation. In *expert* hands, deprojection is one of the more predictable changes to make in a rhinoplasty, even a revision. However, most surgeons don't have the training to accomplish it. So if your nose wasn't deprojected adequately in the first operation, and it *must* be deprojected adequately in the revision for you to be happy with the result, your next surgeon must prove to you that he not only understands what you're looking for, he has to make morphs showing results that you like, and he has to show you photos of other patients on whom he has achieved those results. This is totally not the time to have a surgeon tell you Yes yes I can do that, and then let him operate, with you not really having any idea of whether he can accomplish those changes.

Is deprojection of nose difficult as a revision on previous work?

Answers (1)

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