Rhinoplasty- Deprojection vs. Supratip Break, can both be done?

Question

Hi, My surgeon has told me I have to choose between deprojecting my nose (from my face to the tip of my nose) or having the supratip break. I definitely want my nose deprojected but also like the feminine look of a supratip break. Any thoughts on this feedback from my surgeon? Is it truly not possible to do both?

Thomas A. Lamperti, MD · Answer

In general it is usually possible to do both tip deprojection and supra tip break creation.

It's hard to say for certain if this is the case with you without seeing your nose, though.

Stephen J. Pincus, MD · Answer

Generally speaking, if the anatomy allows for it, you should be able to achieve both. By deprojecting the tip, you bring it more in line with the level of the bridge. This would tend to diminish or eradicate a supra tip break, unless the bridge is further reduced. You should be able to see similar examples of prior work from any surgeon you go to for a consultation.

Gary Linkov, MD · Answer

Rhinoplasty requires exceptional skill on behalf of the surgeon and great communication with the patient about realistic goals and expectations. Common cosmetic concerns include a dorsal hump, wide nose, sunken nose, irregularities, and asymmetries. Functional concerns include difficulty breathing through the nose, which can and should be addressed at the same time as your rhinoplasty.

In your situation, both are definitely possible. A supratip break has to do with the relationship of the dorsum to the tip, where as deprojection usually refers to the tip only.

Make sure to seek out the care of a board certified surgeon with extensive experience in rhinoplasty. Find someone you connect with, who will listen to your concerns and provide you with a framework for what is possible.

Gary Linkov, MD 
Rhinoplasty Specialist 
Manhattan

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You should be able to get both -deproject the nose and get a supratip break. Make sure you you only seek opinions from very experienced rhinoplasty surgeons and those that perform at least 6 per month. Evaluate their on-line galleries critically. Best wishes to you.

Ronald J. Edelson, MD · Answer

You are the first patient I have ever heard who wants a Supra beak deformity. It is possible that you aren’t clear on what a suprabeak is. It would be worth getting this clarified. If a patient asked me to create a suprabeak I would refuse because I know that person will be unhappy.

Rhinoplasty- Deprojection vs. Supratip Break, can both be done?

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Rhinoplasty- Deprojection vs. Supratip Break, can both be done?

Answers (9)

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Everything you need to know about Rhinoplasty

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