One of the surgical maneuvers in rhinoplasty involves ‘deprojection’ of the nasal tip. Notably, only surgeons who are truly specialist’s in rhinoplasty and revision rhinoplasty cosmetic surgery should employ this technique.
Deprojection means the reduction of the nasal tip projection to make the nose appear more harmonious and proportionate with the rest of the face.
Experienced facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides nose projection adjustment procedures to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding locations in this part of the country.
What is Nasal Tip Projection?
The nasal tip projection essentially means how far out the tip protrudes from the face when the profile is viewed. It is the distance that it extends outward from where it meets the upper lip to its tip. In case this tip projects too far out, it can significantly impact the appearance of the nose.
Conversely, under-projected noses may appear too shallow which can make the nose look quite small in proportion to other features of the face.
How the Projection is corrected?
The surgeon may trim a part of the cartilage at its tip to decrease the nose projection. The surgeon may detach and realign the patient’s cartilage, push it forward, suture it into a refined position to increase the projection of the nose tip. In case the cartilage is not available sufficient amount in the nose tip, the surgeon might utilize a cartilage graft perform this procedure.
Rhinoplasty for an Over-Projected Tip
The key goal in rhinoplasty cosmetic surgery for an overly projected nasal tip is to bring the nasal tip closer to the face (deprojecting the nasal tip) while preserving the proportion with the rest of the nose and facial features. The height of the bridge is often quite high in patients with an overly projected nasal tip.
This means that it may be necessary to decrease the bridge height while drawing the tip of the nose closer to the face.
In certain rhinoplasty cases, deprojection of the nasal tip merely means decreasing the size of the domal cartilage. The domal cartilage is the highest point of the lower lateral cartilage as it projects from the face. In case this part of the lower lateral cartilage is too substantial, the surgeon can meticulously reduce the dome to deproject the nasal tip.
Specific rhinoplasty terminologies that pertain to this form of nasal tip deprojection technique include crural overlay, domal truncation, and vertical dome division. In other rhinoplasty cases, the surgeon detaches the complete lower lateral cartilage, moves it, and re-attaches it to attain the desired alteration in the projection on the tip.
According to the rhinoplasty surgeon’s skills and experience, both techniques can be effectively utilized through the open or closed rhinoplasty approach.
In many cases where the nasal tip is being deprojected, the nose also requires slight rotation to preserve the correct aesthetic balance. To a certain degree, this rotation is directly proportional to the level of tip deprojection being done.
Focused facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and other towns and communities in this part of the southwest for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.