The key with the over projecting tip is to reduce the tip so that it is proportionate to the rest of the nose and the face. Visit the section on Alar Flare Reduction to learn more. If it is not desirable then this flaring can be reduced either at the same time or at a second stage. Often this is desirable because these patients often have narrow, elongated nostrils. It is important to know that when the tip is deprojected the alae will flare outward a little bit. As you can imagine, this can dramatically decrease the height and is usually all that is needed. If this is not enough, I will often shorten the 'legs' of the medial crura. This weakens the stability of one of the вЂњlegsвЂќ causing the tip to 'slide down'. The first step is to detach the medial crura from the septum. While a small amount of de-projection is relatively easy to accomplish, significant de-projection is much more challenging and requires aggressive techniques.

In fact, the rhinoplasty surgeon is often trying to increase or maintain tip projection not decrease it. There are several techniques to deproject a nasal tip. When the medial crura is very strong, it literally acts like a tent pole and props the entire tip upward.ДЄn overly powerful septum and lateral crura can also be responsible for excessive tip projection. To change the shape of the tip one must change the shape of the seat.ДЄs you can see, the biggest contributor to an over-projected tip is a long and powerful medial crura. To change the height of the tip one must change the length of the legs. The вЂњlegsвЂќ of the chair give support to the tip. The easiest way to envision the nasal tip is to compare it to a three legged chair. The tip of the nose is made of a pair of cartilages called the Alar Cartilages. Take a look at all the elements of nose anatomy so you know what rhinoplasty is right for you. Having this information makes it much easier to convey what bothers you to your plastic surgeon. My recommendation is to go through it and try and relate it to your nose. This section will review the most common concerns that my patients have regarding the tip. If the tip is too long it will create a вЂњdroopy tip.вЂќ If the tip is too narrow the aesthetic lines will give a вЂњpinchedвЂќ appearance. If the tip is too wide, the dorsal aesthetic lines will widen given a bulbous appearance. The dorsal aesthetic lines of the dorsum of the nose should ideally continue smoothly into the tip.

Fix droppy tip nose job