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

Question

Hello, I am potentially interested in rhinoplasty. The problem is a really like my frontal profile. I personally think my nose is over projected (side profile). Do you think it's worth fixing?

Man Koon Suh, MD · Answer

Thank you for your question. Correction of an overprojected nose is well worth the operation.Through shortening of medial crura of nasal tip cartilage and realingnment of the nasal tip cartilage (alar cartilage), you can get very good results and have a much more beautiful nose tip.Also bulbousness of the tip can be improved.If you are interested in visible nostril(retracted alar rim), it can be also corrected by alar rim cartilage graft.

Jonathan Kulbersh, MD · Answer

Thank you for your question and uploaded photos. It is possible to undergo rhinoplasty to reduce an over-projected nose profile while keeping the tip and front view intact. This procedure is meant to be customized for each individual to provide results that complement the rest of the facial features. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who will examine your nasal tissue, bone, and cartilage while listening to your aesthetic goals.

Andrew Miller, MD · Answer

From your photos, you are a great candidate for rhinoplasty. The nose can be made shorter so it doesn't overproject so much, while keeping the tip shape very similar to what you have from the front. Be sure to see a rhinoplasty specialist for consultation.

Thomas A. Mustoe, MD, FACS · Answer

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.

Akshay Sanan, MD, FACS · Answer

Dear Good29779,
Thanks for uploading your photos and asking the question. There are rhinoplasty techniques to improve your over projected side profile. This is a personal decision as this is an elective surgery. I recommend you consult with a board certified facial plastic surgeon to discuss realistic outcomes. One thing else to consider is a small chin implant. This will improve the chin projection, combined with deprojecting your nose, will result in overall facial harmony. I hope this helps answer your question.
All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryDouble Board Certified

William Portuese, MD · Answer

The photograph from the side profile demonstrates a recessive chin profile and an overly projecting nose. Consider placement of a Chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the nose from the side profile. A Closed rhinoplasty procedure can accomplish a small amount of deprojection of the nose maybe a few millimeters. It's possible to augment the chin further outward than it is to bring the nose backwards.

Robert Singer, MD · Answer

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

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

Answers (7)

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