How much can the nasal tip of a large nose be deprojected?

It also depends on the technique used by your surgeon. When we require significant nasal tip deprojection, we typically divide the tip cartilages and deproject both the medial crural complex, along with the lower lateral cartilages. The configuration of your underlying nasal tip cartilages will determine how much the projection may be achieved. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after surgery. Thank you for this question. Sincerely, Dr Joseph

Check out the link I posted with this answer. She had her tip deprojected by 6.5mm. Sometimes the nose's anatomy puts a limit on how much we can deproject, but I consider it one of the more predictable changes to make in a rhinoplasty.

How *much* to deproject a nose, or lower the bridge, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Deprojecting a nose, especially deprojecting it a lot, requires advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.

Hello and thank you for your question. It is possible to significantly decrease the tip projection depending on the techniques used by your surgeon. I will excise 4-16mm of medial crura during tip deprojection. With good surgical technique, you could have an outstanding result. 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