Rhinoplasty Portland Oregon Patients – Travel
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Closed Rhinoplasty for the overly projecting nose
The overly projecting nose is usually caused from a developmental over-projection of the nasal septal cartilage and nasal bones along the dorsum. The tip cartilages also contribute to the over projection to some degree. Many patients who have an overly projecting nose, also have an under projecting chin.
When patients have a weak and recessive chin profile, Dr. Portuese will recommend a chin implant placement, which will help with facial balance and proportions, especially with respect to the overly projecting nose. It’s very important to look at the relationship between the chin and the nose, when patients have an overly projecting nose. Most patients who have an overly projecting nose also have a large dorsal hump, which must be shaved down in order to remove it successfully. The cartilaginous dorsal hump is removed with knife or scissors, while the bony dorsal hump is removed with an osteotome or a rasp.
When patients have a wide tip in association with an over projected nose, a conservative cartilage removal and suture techniques are required to narrow the tip to be in alignment with the new, less projecting bridge line. Some patients who have an overly projecting development of the nasal septum with an over projected nose have normal or underdeveloped nasal tip cartilages, therefore no tip surgery is performed on them. When decreasing the overall projection of the nose, there are multiple techniques during the rhinoplasty procedure that can accomplish this goal. In most cases, however the amount of de-projection is never as much as the patient would like. Communication between the surgeon and the patient is of utmost importance to make sure both understand what the rhinoplasty procedure can accomplish. Computer imaging is of some benefit to help with the communication process