Rhinoplasty: Cost, Pics, Reviews, Q&A

Underprojecting tip

An underprojecting tip is one in which the tip does not project prominently enough from the face and is not in proportion to the length of the nose. This can be corrected with tip sutures and tip grafts. (Steven Wallach, MD, Manhattan Plastic Surgeon)

Underprojecting nasal tip

Underprojecting tip can be interpreted to mean that your nose does not stick out enough in space. This means that the tip needs to be made more prominent by making it stick out more.

This is freqeuntly accomplished with grafts via an open rhinoplasty procedure during which the rest of your nose can be treated. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)

A nose which is underprojected is just that

Cosmetic surgeons often refer to the position of the nasal tip as under, or over projected. What this means is how far the tip extends out from the face.

If for example after the nasal hump is reduced and straightened the tip stands out beyond, the tip is over-projecting (think Pinocchio). If the tip sits just back of the bridge the tip is under-projected, and the spot above the tip called the supra-tip will stand out and the nose may appear as if the hump was still partially present.

All these components of nasal shape must be anticipated and controlled in a rhinoplasty procedure, the hump, tip projection, tip rotation, so all are in balance. (Peter E. Johnson, MD, Chicago Plastic Surgeon)

Projecting the under projected nose in rhinoplasty.

Under projected nose

Under projection means the tip of the nose is not sticking out from the face enough. The tip doesn’t stick out in front of the bridge in proper proportion on the profile. The other problems you mentioned can be corrected at the same time.

There are many ways to project the tip. See an experienced rhinoplasty surgeon and he should be able to tell you which way he does this and why. (Toby Mayer, MD, Beverly Hills Facial Plastic Surgeon)

Underprojection of the Nose

Underprojection of the tip can be seen in profile when the tip of the nose is less projected forward than the supra-tip (part of the nose above the tip). It can be corrected with rhinoplasty with various techniques (or for Pinocchio by not telling the truth).

Under projected nose tip rhinoplasty

Your underlying anatomy is causing your asymmetry. At rhinoplasty that would be addressed. Enjoy your new nose when the time comes. (Michael A. Persky, MD, Encino Facial Plastic Surgeon)

Rhinoplasty surgeons often use their own language

Rhinoplasty surgeons use technical terms to describe many aspects of the nose. The terms are very specific and allow us to communicate accurately amongst ourselves, but can be very confusing.

“Under projecting tip” means the tip of your nose doesn’t “stick out” as far as the rest of your nose. We can’t evaluate this from the photo you posted. We would need to see a side view to evaluate your tip projection. Correcting the under projecting tip depends on the cause.

Under projected nose tip pictures

If the tip is just RELATIVELY under projecting, reducing the dorsal hump may be enough. Sometimes, we actually have to build the tip up with cartilage grafts to create an attractive profile.

Your nose does appear somewhat crooked but I can’t evaluate the full extent without looking inside the nostrils. Photos help but can’t replace a full exam by a physician! (Daryl K. Hoffman, MD, Los Gatos Plastic Surgeon)

Under Projecting Nose Rhinoplasty

When I look at your picture I do not see that your nose is under projecting. This means that the tip of the nose is short and too close to the face. It seems like your nose is a little over-projected or large. I do agree that your nose is a little crooked, and the tip lacks refinement.

Under projected nose tip photos

To better assess your nose I would need to see profile views as well. (Andrew Jacono, MD, Great Neck Facial Plastic Surgeon)

Underprojected nasal tip

Tip projection is best seen on a profile view. Tip projection refers to the distance from the tip of your nose to the base of your nose. Rotation refers to the angle between the base of your tip and your upper lip. To correct an under projected tip involves reshaping and re-supporting your tip cartilages.

It may involve a cartilage strut and/or alar cartilage reshaping. The bend and crookedness of your nose relates to the asymmetry of your right and left upper lateral and lower cartilages. Again a profile shot would give more info on your nose. (Oleh Slupchynskyj, MD, FACS, New York Facial Plastic Surgeon)