Rhinoplasty revision: will deprojecting 2-3mm possibly 4mm make a significant change? (Photos)

Question

I am getting a revision on a previous rhinoplasty with the same surgeon. He did a good job the first time with my droop and hump, but now my nose is grossly over projected and I am unhappy with it. He says he can deproject 2-3mm possibly 4mm. Is this an amount that will make a significant change? I don't want to pay full price once again and be partially disappointed.

Mehdi Sina, MD · Answer

Hi,
I agree with your assessment and think that you will benefit from some deprojection. Exact numbers in millimeters are not as helpful as what the nose looks like on the OR table, so trusting your surgeon is key. Overall, I think your nose looks pretty good so you are headed in the right direction.
Good luck,
Mehdi Sina, MD

Robert H. Hunsaker, MD · Answer

Your surgeon's plan is reasonable and it will not require much change to be more pleasing in proportion. Good luck with your surgery.

William Portuese, MD · Answer

Revision  Rhinoplasty is more difficult than a primary rhinoplasty,  so it is important to have realistic expectations on what can be accomplished. 2 to 3 mm of decreased projection seems reasonable by a very experienced rhinoplasty surgeon.

Steven Wallach, MD · Answer

Deprojecting the tip will alter the balance with the upper 2/3's of the nose and will likely require work on the dorsum as well.

Rhinoplasty revision: will deprojecting 2-3mm possibly 4mm make a significant change? (Photos)

Answers (4)