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Projection and Deprojection Techniques in Rhinoplasty.

Fazil Apaydin¹

¹Department of Otolaryngology, Ege University Medical Faculty, Bornova, İzmir 35100, Turkey.

Clinics in Plastic Surgery

|December 1, 2015

Summary

This article details rhinoplasty techniques for adjusting nasal tip projection. Surgeons can decrease, maintain, or increase projection using various methods for optimal results.

Keywords:

Decreasing projection Deprojection Increasing projection Lateral crural steal Projection Septocolumellar suture Shield graft Tip graft

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Area of Science:

Plastic Surgery
Facial Aesthetic Surgery

Background:

Nasal tip projection is a critical determinant of facial aesthetics and nasal function.
Achieving desired nasal tip projection is a common goal in rhinoplasty surgery.

Purpose of the Study:

To present a comprehensive overview of techniques for modifying nasal tip projection in rhinoplasty.
To guide rhinoplasty surgeons in selecting appropriate methods to decrease, maintain, or increase nasal tip projection.

Main Methods:

Discussion of various surgical approaches, including suture techniques.
Explanation of lower lateral cartilage overlay techniques.
Emphasis on the application of structural grafting for nasal tip support.

Main Results:

A wide spectrum of techniques is available to precisely control nasal tip projection.
The choice of technique depends on the specific goal: reduction, maintenance, or augmentation of projection.

Conclusions:

Mastery of suture techniques, cartilage overlay, and structural grafting is essential for rhinoplasty surgeons.
Proficiency in these diverse techniques enables surgeons to achieve excellent and stable long-term nasal tip projection results.