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Updated: Jun 14, 2025

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Nasal Tip Deprojection in Rhinoplasty.

Shaishav Datta1, Buğra Tugertimur2,3, Steven A Hanna2

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Plastic and Reconstructive Surgery
|August 30, 2024
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This study presents a surgical technique for nasal tip deprojection in rhinoplasty. The method, combining specific cartilage manipulations and grafting, demonstrated a low revision rate, indicating reliable and stable results for patients with an overprojected nasal tip.

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Area of Science:

  • Plastic Surgery
  • Facial Reconstructive Surgery
  • Rhinoplasty Techniques

Background:

  • Nasal tip support structures significantly influence tip projection in rhinoplasty.
  • Overprojection of the nasal tip can stem from anatomical factors or iatrogenic causes during primary rhinoplasty.
  • Nasal tip deprojection aims for reliable, reproducible, and stable outcomes.

Purpose of the Study:

  • To describe and evaluate a surgical technique for nasal tip deprojection in patients with an overly projected nasal tip.
  • To assess the reliability and stability of the proposed deprojection technique through patient follow-up.

Main Methods:

  • Retrospective chart review of 447 rhinoplasty cases between July 2014 and June 2022.
  • Inclusion criteria: cosmetic or functional rhinoplasty with nasal tip deprojection and ≥12 months follow-up.
  • Outcomes assessed: operative revision rate and postoperative infection rate.

Main Results:

  • The study included 447 patients (mean age 32.1 years, 409 female, 291 primary rhinoplasties) with a mean follow-up of 22.4 months.
  • A low operative revision rate of 3.8% (17 patients) was observed.
  • A low rate of postoperative infection (1.8%, 8 patients requiring antibiotics) was noted.

Conclusions:

  • Combining medial crura resection, lateral crural steal, and a columellar strut graft effectively achieves nasal tip deprojection.
  • The comprehensive follow-up data support the reliability and stability of this surgical technique for nasal tip deprojection.
  • This technique offers a viable solution for managing overprojected nasal tips in rhinoplasty.