Can nasal deprojection be achieved without changing anything else about the nose?

Question

Hello, I was wondering if it’s possible to reduce the projection of the nose without changing it’s shape — esentially just shrinking it by scale?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can understand from your question, it is totally achievable. You just need to clarify it to your doctor that you just need nasal deprojection. Best Regards!

Oakley Smith, MD, FRCSC · Answer

Yes this can be achieved with surgical preservation rhinoplasty. The main change will be noticed from the side view where the nose is de-projected (overall size is smaller), with minimal effect on the front view.

Steven M. Denenberg, MD · Answer

As the tip of the nose comes back closer to the face with the deprojection, the bridge must come back closer to the face, too, or else the bridge would really stand out. If you want the proportions to stay the same, the bridge would be reduced the same amount that the tip was de-projected. That make sense?
The woman in the link that I posted with this answer had her nose deprojected substantially. She also had a bump removed, but as I mentioned, that's optional.
How *much* to 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. Making a good deprojection to the nose requires advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, 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.

Mehmet Durmusoglu, MD · Answer

First of all, thanks for your question. In more than 95% of patients, applying all steps of rhinoplasty is necessary. For the remaining 5%, tipplasty (correction of only the tip of the nose) or alarplasty (correction of the nostrils) or to reduce the projection only may be sufficient. I think making this decision will be appropriate after a thorough evaluation. Yes, some patients find a complete nose job worrisome. With new techniques (such as ultrasonic rhinoplasty), good results can be obtained at the end of a very comfortable process.I wish you a beautiful and a healthy day!

Celal Alioglu, MD · Answer

Hello to change only projection is not possible because if you change projection so you will need to change tip and whole nose

Ronald J. Edelson, MD · Answer

To look proper you probably need at least to have the bones broken. Correcting an overly projected nose requires lowering the bridge even if there is no hump.

Robert Ciardullo, MD · Answer

Can the nose be deprojected without changing its shape? Theoretically, the answer is yes. You do not show a picture so we will have to consider a few possibilities. If the tip over projects in relation to the rest of the nose, deprojection of the tip will bring it in line with the rest of the nose. If the entire nose over Projects , deprojection of the dorsum and. tip can be done. now however it may make the nose look longer. However if the nose was over projected in relation to its length then deprojecting the nose will bring it into better proportion with the preexisting length . ultimately the length, width, projection, and nasolabial angle must all be in the appropriate harmonious relationship. So if over projection is the only problem then deprojection might be the only necessary solution.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Yes, you can deproject the nose and keep similar proportions. Deprojection is a challenging task, but with great care, it can be done. Many times, the bridge will need to be adjusted as well to match the amount of tip deprojection. But, the relative shape of all the other aspects of the nose can be kept the same. I would seek consultation with a Facial Plastic Surgeon who also morphs photos to see what can reasonably be done. Hope this helps!

William Portuese, MD · Answer

No, when deprojecting the nose, it will affect other components of the nose, and therefore a full rhinoplasty is required. The nose is a three dimensional structure, and rhinoplasty is performed in all three dimensions.

William C. Harris, MD · Answer

Hi,
There is a technique called preservation rhinoplasty, which allows the entire nose to be reduced in projection without affecting the nasal shape overall. If you are just looking to reduce tip projection, there are several conservative techniques that allow the tip to be deprojected without changing the shape of the nose. That being said, if the tip alone is deprojected significantly, the nose will appear different because the tip will be deprojected relative to the rest of the nose. I hope this helps and please reach out if I can assist you with this process further. Best, Dr. Harris

Can nasal deprojection be achieved without changing anything else about the nose?

Answers (10)

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