Over projected nose. Do you think it's worth fixing? (Photo)

Many surgeons consider changing tip projection to be somewhat difficult and hard to control, but with the appropriate technique it is highly reliable and gives a more proportional and very natural appearance. It is a common reason in my practice for performing revision rhinoplasty or for that matter primary rhinoplasty. I agree that you nose is over projecting and you would benefit from a revision.

No one ever "needs" a rhinoplasty. It is an elective procedure and only you can determine if your nasal features concern you enough to do something about improving the cosmetic appearance of your nose and whether it would be worthwhile with an artistically performed natural appearing rhinoplasty.

Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Additional information about the procedure will help you decide if it is a procedure that you want to pursue.

Robert Singer, MD FACS

La Jolla, California