Reducing an Over-Projecting Tip ("Pinocchio Nose")

I prefer the former technique.  A tip rhinoplasty to refine your tip and reduce the caudal septum to limit the projection of the tip would result in a natural improvement.  Nasal flaring shouldn't be a concern.  Your dorsum looks nice and augmentation may not be the look you want.  Best wishes!

Thank you for your inquiry!



It seems that you are a good candidate
for a tip refinement and your surgeon provided you with 2 viable options. There is no right or wrong way to go about it but more like the technique the surgeon is more comfortable with to deliver the best results possible. The main goal is to improve the way your nose looks to complement your
facial features in a natural fashion. However, without a physical
examination it is not possible to provide you with specific details. I highly
recommend that you schedule a consultation with a well-experienced surgeon.



It is important to mention that the
finest cosmetic results in any particular case are based on a variety of
factors, including: the unique anatomy of the patient, realistic expectations,
a well-informed and detailed discussion with your plastic surgeon concerning
the best options for you especially covering a deep understanding of the pros
and cons of any given choice you will adopt.



Please keep in mind that following the
advice from a surgeon online who offers to tell you what to do without a
physical examination covering the nature and the status of the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative solution would not be in your best
interest. With that in mind, it is the safest and for your best interest to
find a plastic surgeon with solid experience and certified by the American
Board of Plastic Surgery who is ideally a member of the American Society of
Plastic Surgeons that you will trust and be comfortable with. You should
discuss your concerns with that surgeon in person.



Good luck!!!



Ali Sajjadian, MD FACS

There are multiple ways to reduce an overprojecting tip of the nose.  This involves reducing the anterior projection of the lower lateral cartilages, the dorsal septal cartilage, and potentially even augmenting slight ski slope that is present.    Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.  For many before and after  the closed rhinoplasty examples, please see the video and the link below