Tip projection when my tip is already slightly projected?

It is true that when a surgeon performs a rhinoplasty that the process of surgery will divide some attachments between cartilages that will weaken the forces that support the overlying skin. For this reason is it is sometimes necessary to reinforce those forces and in a way, increase the amount of projection to result in a final outcome that achieves the amount of projection you started with.This is a fine art. Each surgeon will have a number of techniques used to achieve the ultimate goal - the patients desired outcome. That is the key, your final result.    As long as the image in your mind of the final result is the same as that of the surgeon - you are on track to achieve your desired outcomeI hope that helpsJeremy Hunt

Dear New ScientistYour good question illustrates why communication is essential between you and your doctor. With the best of intentions, no Plastic Surgeon is able to advise you in an online forum. There are so many factors that affect a Plastic Surgeon's proposed surgery plan. Speak to your Plastic Surgeon, or speak to another one if you don't have that trust feeling. If you are not both on the same page before your surgery, I believe you walk into many problems, due to different expectations.I wish you well with your decision making.

Its up to you as a patient to decide what the final look for your nose should be.
We perform imaging with the patient that way we work together to define the best nose to suit your face.
An experienced surgeon can then assess how close to that ideal he can surgically achieve.

Dear New Scientist, I am not sure why your surgeon would "have" to project the tip of your nose. I would suggest if your surgeon has a digital imaging computer that you use the imaging to help make sure you are both on the same page of your desired aesthetic results. Then it is up to your surgeon to deliver those results with his/her surgical skill. Best regards, Michael V. Elam, M.D.