One of the most common reasons that patients undergo cosmetic rhinoplasty Miami is because they feel their nose is too large as they considered it an aesthetic issue. Several aspects of the nose may contribute to its size: the width of the nose, the height of the bridge, and the length of the tip. A long nose is often referred to as having an over-projected tip, which can be improved through surgery.
A long nose can cause the chin to look weak and often detracts from the other features and overall look of the face. The size of this centrally located feature may cause the eyes and lips to appear small, though most people prefer to enlarge and highlight these attractors. This type of nose may also have a droopy tip, which can distort the rest of the face by drawing it downward.
What is an Over-Projected Tip?
An over-projected nasal tip is a common issue in which the tip has excessive projection due to an excess of cartilage. This can occur naturally but can also be caused by a primary rhinoplasty or previous trauma. This leads to a long and possibly droopy nose that may detract from the other features of the face. Rhinoplasty can improve this issue by reducing the amount of cartilage and changing the shape of the nose to create a more balanced look.
Causes of an Overprojected-Tip
The over-projected tip is caused by the excessive projection of the nasal structure, which is primarily due to the enlargement of lateral cartilage and alar cartilage. The lateral cartilages are located on both sides of the nostrils, and their enlargement leads to an increase in nasal projection.
Similarly, an overgrowth in the alar cartilage also contributes to a greater nasal projection. For a Miami rhinoplasty procedure to be successful, it is necessary to reduce or reshape these structures to achieve desired results.
Am I a Candidate for Cosmetic Nose Surgery?
Rhinoplasty, also known as a nose job Miami, is a cosmetic procedure that can correct nasal deformities and extra nasal skin. In general, candidates for rhinoplasty should be physically healthy, non-smokers, and have realistic expectations of the outcome. Patients with an over-projected tip who are looking to reduce the size of their nose may be good candidates for rhinoplasty surgery as long as they are willing to understand the risks and follow all pre-operative instructions. The best way to determine if you are a good candidate for this surgery is to consult a board-certified plastic surgeon who can evaluate your case and discuss your options.
Consultation for Rhinoplasty
During the consultation or initial patient-doctor visit, the surgeon may take nasal tip projection measurements to determine mathematically how much the length should be reduced. There are other methods the doctor may utilize to determine which alterations in the treatment plan will result in the most desirable outcome. The patient has the opportunity to relay his or her opinion and personal goal in rhinoplasty, and the facial plastic surgeon will examine the nose to determine the extent of change allowed by the individual’s nasal anatomy.
What to Expect from Your Nose Surgery
A Miami nose job involves reshaping the soft tissue of the nose in order to reduce its projection and create a more balanced look. Depending on the type of deformity being addressed, it may involve removing excess cartilage or fat, as well as using sutures and other techniques to reposition the remaining structures. The procedure typically takes between two and three hours, and recovery time varies depending on the individual.
Rhinoplasty Techniques for Over-Projected Tip
Reducing the Bridge Height
Reducing the tip of the nose too greatly will create a wider end of the nose than is ideal. It is common for rhinoplasty patients who undergo tip reduction to also have bridge work done, as those with over-projected tips tend to also have heightened nasal bridges. By addressing the bridge height and ensuring a balanced appearance, rhinoplasty can help to reduce the projection of an over-projected tip and create a more aesthetically pleasing face.
Changing the Rotational Position of the Nose
One method used to alter an over-projected nasal tip is through the freeing of the cartilage found at the end of the nose so it can be repositioned further back, thus lessening its length. In some patients, the cartilage is not malleable enough for this approach to be effective. In addition, severely over-projected tips will not benefit from the movement of cartilage as, typically, the nose may only be repositioned a few millimeters back from its original location.
In other surgeries, the tip cartilage can be trimmed, then cut and overlapped in a medial-lateral crural overlay to allow for more horizontal movement that brings the nasal tip closer to the face.
Nasal Tip Deprojection Technique
De-projection of the nasal tip can be achieved during either an open or closed rhinoplasty approach that reduces the length of the nose. The doctor can effectively reposition the nasal tip to decrease its distance from the face, as seen in some of Dr. Bustillo’s rhinoplasty photos. Through this part of the procedure, the rhinoplasty surgeon needs to alter the tip in such a way that the various regions of the nose remain proportionate.
Are There Any Potential Risks from Rhinoplasty for an Over-Projected Nose?
Rhinoplasty for an over-projected nose carries some potential risks. It is important to consult with a rhinoplasty specialist who has experience working with nose cartilage and performing the right surgical techniques to ensure the highest chance of successful results while minimizing any potential risks. Potential risks can include infection, bleeding, and scarring. It is also important to note that the nasal structure may not respond as expected due to individual anatomy or the particular surgical technique used by the surgeon.
Consult with an Expert in Rhinoplasty
As a facial plastic and reconstructive surgeon, Dr. Bustillo can explain which type of rhinoplasty is the best for each patient’s over-projection concerns. The doctor is highly specialized in plastic surgeries, including rhinoplasty and revision rhinoplasty, as well as several non-invasive cosmetic procedures. Dr. Bustillo’s Coral Gables, Florida, office can be reached at (305) 663-3380 or through the Patient Contact Form.