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

Dear Elle,

Your surgeon is right about the 2 different ways to address projection.  If he/she has computer morphing software, you can be shown what you what your nose would look like using both kinds of techniques.  It is best to see this on profile view. 

Ideally tip projection is about the same length as the distance between the base of the nose and the upper lip.  I cannot tell exactly from your photo which you would need, unless there was a profile view.

Best,

Nima Shemirani