Nose projection refers to the distance that it protrudes outward from the point where it joins the upper lip to its tip. In case this tip is too protuberant, it can significantly impact the overall nasal appearance.
On the other hand, noses that are under-projected appear too shallow and may make the nose look too small relative to other facial features.
A surgeon can shave away a portion of the cartilage at the nasal tip to reduce the projection of the nose. In order to increase the nose projection, the surgeon may separate and realign the cartilage.
They will push it forward and suture it into a refined position. In case there is insufficient cartilage in the tip of the nose, the surgeon may use a cartilage graft to build it up.
Double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations.
Treating an Over Projected Nose
People with over projected noses, which stick too far out from their face, can undergo corrective surgery involving shaving away the nasal cartilage at the tip. This procedure moves the nasal tip back to provide it with a more appealing look. It is known also known as nasal de-projection or retro-displacement.
Treating an Under Projected Nose
The re-projection of a nose which is under-projected involves extending the nose cartilage. This can be accomplished with two approaches depending on the nasal structure. One technique involves trimming the nose cartilage and suturing it up again to attain a better nasal projection.
In the second technique, the surgeon will source a cartilage graft from another area of the body where there is sufficient cartilage availability and use it to improve the nose projection. This cartilage graft is typically taken from the nasal septum in primary rhinoplasty. If necessary, the cartilage can also be sourced from the ears or the ribs as well.
Types of Cartilage Grafts
Depending on the location and method of cartilage graft use, they may be called columellar struts used to offer support to the columella which bifurcates the nostrils. There may be insufficient septum cartilage if the patient is undergoing revision rhinoplasty. In such cases, the surgeon will usually take bone from the rib cage for the cartilage graft.
The ear cartilage is considered beneficial in offering support to the nose tip due to its elasticity. A common cartilage transplant from the ear will be thicker in comparison to cartilage from the septum. However, the outcome could be a nose tip that feels more natural instead of one that is rigid and solid because of the elasticity.
If cartilage is required for primary rhinoplasty, costal or rib cartilage is also considered as a feasible option. In general, septal or ear cartilage is used in nose tip refinement. On top of this, sometimes rib cartilage may be used.
Considerations for Male Patients
Male patients considering nose projection surgery may harbor concerns regarding their nose appearing too feminine following the procedure. But a skilled, sagacious, and experienced plastic surgeon can ensure that the masculinity of the nose is preserved while enhancing the nose projection at the same time.
A nose projection procedure can be an effective way to improve the nose shape while preserving its masculine aesthetic for men who do not want to undergo a “full” rhinoplasty. Reliable double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other towns and cities in this part of America for rhinoplasty.
For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA.
Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.