Dr. Paul Pin has previously discussed how to correct a nasal tip that is over-projected, or extends out too far out from the face. However, some patients who come to see Dr. Pin have the opposite problem: a nasal tip that is under-projected, or does not extend out far enough from the face.
This can give the nose a lack of real shape or definition as compared to the rest of the nose. What can cause the nasal tip to be under-projected, and what techniques can Dr. Pin use in order to provide it with more shape and dimensionality?
What Causes an Under-projected Nasal Tip?
As you might expect, an under-projected nasal tip is often the result of genetics or deformity to the shape of the nose. One of the more common deformities is what is known as a polly beak, due to the similar shape to that of a parrot’s beak.
In this type of deformity, the high point of the nose is just above the tip. The tip then sharply curves downward, giving the beak-like appearance. This can happen following a previous rhinoplasty in which the nasal tip was not properly supported.
A dorsal hump just above the nasal tip is an excellent example of a genetic deformity that can give the appearance of an under-projected nasal tip. This is a bony bump that projects up to become the highest point of the nose, giving the appearance of the nasal tip sloping downward from just below that point.
There are also some ethnic groups that are more likely to have under-projected nasal tips, most often people of Middle Eastern background. Ethnic rhinoplasty requires a very delicate touch, as Dr. Pin will need to both correct for the under-projected nasal tip, while at the same time keeping the nose looking natural.
Rhinoplasty Procedure for an Under-Projected Nasal Tip
This type of surgery usually requires what is known as an open rhinoplasty, in which the skin and underlying tissue of the nasal tip is peeled back so that Dr. Pin can directly access the internal structures of the nose.
There are several techniques that Dr. Pin can use to correct this problem. In many cases, he will use a combination of surgical techniques to give enough support to the tip to maintain its position.
In cases of a polly beak deformity, he may opt to use a combination of grafts and sutures to pull the nasal tip further up and help shore it up in that position. In the case of a dorsal hump, Dr. Pin can shave it down to reduce its appearance, which will then make the nasal tip once again appear to be the highest point on the nose.
Whether it is the result of a previous rhinoplasty or genetics, an under-projected nasal tip can look out of proper proportion to the rest of the facial features. Fortunately, there are several options that Dr. Pin can use to surgically correct this problem.