Is there any way to keep my bump while also deprojecting my nose? (Photo)

Question

Hello, I'm finally in the stages of planning my rhinoplasty! I realized I want to keep at least a little bit of the bump on my nose, but I would also like to decrease the projection. Is there anyway to accomplish this? I have not seen any rhinoplasties like this done before with the doctor I'm planning, so would it be risky? The picture of old Kim k is exactly the side profile I want.

Bora Ok, MD · Answer

Hi from Istanbul! Absolutely, it's possible to refine your nose while preserving some of its natural character, like maintaining a slight bump. By subtly reducing the bump without completely removing it and delicately shortening the nasal tip, we can maintain the proportions and achieve a more natural-looking outcome with a less pronounced hump, akin to the profile you admire. Best of luck on your journey!

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. You actually have a difficult request. To properly address your nose and improve your facial balance, you would need a rhinoplasty with nasal tip deprojection to improve the overall harmony of your different facial features and achieve the look you want.

This truly a surgery of millimeters- and tip deprojection is one of the most technically challenging surgical techniques! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have an over projected nasal appearance with a dorsal hump and a wide droopy tip. I do not think it is feasible to achieve an attractive result with a persistent dorsal hump, even small. The goal of rhinoplasty is to allow somebody's nose to blend in rather than to call attention to itself. Please consider meeting with several reputable rhinoplasty specialist so you could formulate a plan that's right for you moving forward. Thank you for your question, and I hope this helps. Sincerely, Dr. Joseph

Raj Dedhia, MD · Answer

It is not uncommon for patients to want to get a rhinoplasty but still maintain certain features of their nose that they feel are closely tied to their identity/ethnicity. While morphing is not a gold standard or requirement by any means, I find that it can help a patient and surgeon communicate these nuances visually.

Giray Genc, MD · Answer

Hello, there is a technique for preserving your bump a little while doing rhinoplasty. we can decrease projection with preserve your natural roof

Steven M. Denenberg, MD · Answer

When the tip is de-projected, the bump on the bridge automatically looks bigger, so probably it would have to come down some. But in general, you get to decide how much.

So, how *much* to lower the bump, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Zeshaan Maan, MD · Answer

HI - that's a great question. Rhinoplasty requires a careful, well thought out plan that incorporates a thorough understanding of the complex anatomy of the nose. Changing the structure of its components controls both function and aesthetics, and it should be approached in both systematically AND artistically.
The midvault aesthetics are defined by your nasal bones, upper lateral cartilages and septum. The tip projection, rotation and position are controlled by the caudal septum and lower lateral cartilages. In the hands of a capable rhinoplasty surgeon, the answer is yes!

Ronald J. Edelson, MD · Answer

The best thing to do is to go on some consults on your area and see whose plan for your rhinoplasty is consistent with yours. Every surgeon you go to will tell you something different so there is a lot of trust that you give to the surgeon you select. Best wishes

Zoran Potparic, MD · Answer

Issues like these are best discussed in person. Consultation with 1-3 plastic surgeons with good reputation in rhinoplasty, possibly 3D animation, would help you to understand your options better. Good luck.

Ruslan Zhuravsky, DO · Answer

Hello, It is possible as rhinoplasty should be customized to the patients desires. However, be sure to do computer morphing software and see what that would look like on your face. The nose is one whole 3 dimensional structure. When you change one thing, it can change how the surroundings appear. Deprotecting the tip alone will make the hump look bigger and will give the nose a more "drooped" appearance overall. Deprotecting the tip and bringing the hump down (while maintaining the hump) has to be done with care as the radix (btwn the eyes) can change the appearance of the bump. These are things you really have to evaluate visually in a collaborative process with the surgeon. Hope that helps!Good luck!

Is there any way to keep my bump while also deprojecting my nose? (Photo)

Answers (13)

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