Deprojection Rhinoplasty
Conveniently located to serve West Palm Beach, Palm Beach Gardens, Jupiter, Wellington, & Boca Raton.
Deprojection rhinoplasty is a specialized form of facial plastic surgery that focuses on reducing the prominence of the nasal tip. This procedure is ideal for patients with a large nose or an over-projecting nose that negatively impacts their facial proportions. Dr. Patrick Cleveland employs advanced structural rhinoplasty techniques to achieve a more balanced facial harmony by creating a natural and aesthetically pleasing appearance that fits with the rest of the face.
The process of deprojection involves reshaping the lower lateral cartilage (alar cartilage) and adjusting legs of the tripod structure formed by the medial and lateral crura. By manipulating these cartilages, Dr. Cleveland can gain control over the tip position in order to create a more proportional nose with natural tip refinement that complements each patient's unique facial features.
Reasons to Consider Deprojection Rhinoplasty
Deprojection rhinoplasty is an ideal solution for those who are unhappy with the prominence of their nasal tip. Common reasons for considering this cosmetic surgery include:
- VA disproportionate nose that overshadows other facial features
- VDifficulty breathing due to nasal tip projection
- VAn elongated, drooping nasal tip
- VDesire for a more refined and balanced appearance
Dr. Cleveland’s expertise in nose reshaping in patients with both thick skin and thin skin ensures that patients receive the best possible outcome, tailored to their unique needs and goals.
The Art and Science of Nasal Deprojection
Nasal deprojection requires a delicate balance between artistry and surgical precision. Dr. Cleveland’s extensive experience in facial plastic surgery allows him to approach each procedure with a keen eye for detail and an understanding of the underlying anatomical structures driving the nasal deformity. By combining these skills, he can achieve natural-looking results that enhance the patient’s overall appearance.
The overprojected tip is caused by an excess in the total length of the lower lateral crura also known as the tip cartilages, and the reason why many surgeons struggle to bring the tip significantly closer to the face is they fail to adequately adjust this excess length. This cartilage is very strong and unless that strength is broken with a medial crural overlay so the lower lateral cartilages can be shortened they will continue to push the nasal tip skin too far from the face creating a big nose. Unlike nose jobs in patients with normal projection you must overlap the medial crura to shorten the projection. This must be done in conjunction with grafting to secure the tip position, which is anchored to the caudal septum, creating a new support leading to a long lasting result that is extremely strong and ages well.
Tripod Theory in Deprojection Rhinoplasty
The tripod concept is a fundamental concept in any rhinoplasty with the goal of adjusting the projection of the nasal tip. It refers to the three-legged support structure formed by the paired medial crura and each lateral crura of the lower lateral cartilages together forming the three legs of a tripod. Each tip defining point is formed by the dome and the paired domes create the tip of the tripod. By adjusting the length and position of these components and shifting the location of the dome, Dr. Cleveland can modify the nasal tip projection and rotation of the tip to achieve the desired outcome. There are many different maneuvers he uses to adjust these lengths and the unique 3 dimensional shape of each patient’s nose and cartilages dictate which is best for you.
Understanding the tripod theory is crucial for a successful deprojection of the nasal tip, as it helps the surgeon maintain the structural integrity of the nose while creating an aesthetically pleasing result. Each patient is unique and this is only achieved by a bespoke operation, tailored to each individual’s needs.
The Evolution of Deprojection Rhinoplasty Techniques
Over the years, nasal tip deprojection techniques have evolved, offering patients better results and a faster recovery. Dr. Cleveland stays at the forefront of these advancements, utilizing the most up-to-date methods and technologies to provide his patients with the highest standard of care.
In the past closed rhinoplasty was very limited in its ability to deproject a nose and make it significantly smaller due to the poor visualization of the tip cartilages, the primary maneuver was limited to dropping the nose with a full transfixion incision. This would break up the fibrous attachments of the membranous septum but would not shorten the nasal tripod. With the invention of more modern open rhinoplasty techniques which exposed these cartilages, it allowed for greater precision and customization of the cartilages with supporting grafts. This gave rise to the advanced structure rhinoplasty techniques, which ensured that each patient receives a personalized treatment plan that addresses their specific structural issues and restrengthened their deficits with cartilage grafts, usually made from septal cartilage. This is the most modern approach to rhinoplasty and the one utilized by Dr. Cleveland.
The Role of Computer Imaging in Deprojection Rhinoplasty
Computer imaging plays a significant role in the planning and execution of tip deprojection. By utilizing advanced technology, Dr. Cleveland can create a virtual simulation of the patient’s expected results, allowing for a more accurate and predictable outcome, and making sure that both the surgeon and the patient are on the same page. This also helps patients visualize the potential changes to their appearance and make informed decisions about their treatment.
During the consultation, Dr. Cleveland will use computer imaging to demonstrate the potential effects of deprojection rhinoplasty and discuss any adjustments necessary to achieve the desired result.
Revision Deprojection Rhinoplasty: Addressing Unsatisfactory Results
In some cases, patients may be unhappy with the results of a previous nose job and require revision deprojection rhinoplasty to correct any issues. Dr. Cleveland is highly skilled in revision procedures, and frequently encounters patients seeking corrections of an overprojected nasal tip or a hanging columella left undertreated by surgeons only practicing closed rhinoplasty. Usually the previous dorsal hump has been removed but the tip is undertreated and the remaining over projection of the tip creates an overly scooped nose which looks artificial and disrupts facial harmony.
By carefully assessing each patient’s needs and concerns, Dr. Cleveland can develop a personalized revision plan to achieve a more satisfactory outcome and natural-looking correction. He will go through why your nasal anatomy creates the appearance you dislike, and what techniques he would employ in your unique case. Revision rhinoplasty is often a reconstructive surgery managing damage to the soft tissue, cartilage, or nasal septum from the initial surgery.
Before and After: Deprojection Rhinoplasty
Patients considering deprojection rhinoplasty often want to see examples of the procedure’s results. Our before and after gallery showcases a variety of patients who have undergone successful deprojection rhinoplasty with Patrick Cleveland MD. These images demonstrate the transformative effects of this facial plastic surgical procedures and how it can improve facial harmony and balance.
Patient Testimonials
Hear from other patients who have undergone Rhinoplasty with Dr. Patrick Cleveland. Their stories can provide valuable insight into the process and outcomes of the procedure.
Deprojection Rhinoplasty: Long-Term Results
Deprojection rhinoplasty, when done correctly, offers long-lasting results that improve facial harmony and balance. Dr. Cleveland’s meticulous approach and attention to detail ensure that patients enjoy a stable and aesthetically pleasing outcome.
Though it is true (as you have probably read online) the final results may take up to a year to become fully realized, for most patients the results at 1 week are still a significant difference and after a few weeks as the remaining swelling dissipates your nose continues to look better and better. If any bruising occurs it is usually gone within 1-2 weeks. By carefully following Dr. Cleveland’s post-operative care instructions, patients can maximize their chances of a smooth recovery and optimal long-term results.
Deprojection Rhinoplasty Recovery: What to Expect
Recovery time from nose surgery varies depending on the individual and the complexity of the procedure. Patients recover from anesthesia rapidly as Dr. Cleveland’s anesthesia team does not use gas anesthetics to avoid common side effects like nausea. Most patients can return to work and light activities at 1 week, returning to more strenuous activities at 2 weeks, however contact sports and ball sports should be avoided for at least 6 weeks to ensure proper healing. During this time, it is essential to follow Dr. Cleveland’s post-operative care guidelines, which may include:
- Keeping the head elevated to minimize swelling
- Avoiding strenuous activities and exercise
- Refraining from blowing the nose
- Wearing a nasal splint as directed
Dr. Cleveland will closely monitor your progress and provide any necessary support throughout the recovery process.
Does My Nose Need to Be Packed?
Dr. Cleveland does not use nasal packing for his patients ever. This is an uncomfortable practice and instead he uses absorbable sutures that do not need to be removed from your nose. In a small number of cases he may use thin internal splints, which are more comfortable than packing and can be easily removed during the post-operative visit.
Is Rhinoplasty Painful
Dr. Cleveland performs a nasal block so when you wake up from your rhinoplasty surgery you are not in any pain. As this wears off, any discomfort during the recovery process is generally mild and can be easily managed with tylenol or prescribed pain medication. Dr. Cleveland also pre-medicates his patients with anti-inflammatory medication to stay ahead of any pain and minimize swelling. Most of the discomfort patients experience is from congestion rather than from pain. Dr. Cleveland and his team will provide guidance on managing any discomfort during the healing process.
Preparing for Your Deprojection Rhinoplasty Consultation
A successful deprojection rhinoplasty begins with a thorough consultation. To make the most of your appointment with Dr. Cleveland, it’s essential to come prepared. Consider bringing the following:
- A list of your medical history, including any medications you’re taking
- An idea of specific concerns you have with your nose
- Any questions or concerns you may have about the procedure
During the consultation, Dr. Cleveland will assess your facial anatomy, discuss your goals, and develop a customized treatment plan to achieve the best possible result.
Financing Options for Deprojection Tip Rhinoplasty
We understand that cost can be a concern for many patients considering Rhinoplasty. At Patrick Cleveland Facial Plastic Surgery, we offer a variety of financing options to help make this transformative procedure more accessible. Our team will work with you to determine the best financing solution for your unique situation.
Choosing the Right Surgeon for Your Deprojection Rhinoplasty
Selecting a double board-certified surgeon as well as a fellowship trained facial plastic surgeon like Dr. Cleveland is crucial for ensuring the best possible outcome. His extensive training and expertise in nose reshaping procedures, combined with his commitment to patient satisfaction, make him the ideal choice for your deprojection rhinoplasty.
When choosing a surgeon, consider their credentials, experience, and the quality of their previous work. Schedule a consultation to discuss your goals and concerns, and ensure that you feel comfortable and confident in your surgeon’s abilities.
Schedule Your Deprojection Rhinoplasty Consult Today
Dr. Cleveland is one of the top rated rhinoplasty surgeons in South Florida, and one of the only that was fellowship trained by the leaders of the field in Manhattan. He has been internationally recognized for his expertise and invited to speak to surgeons from around the world. If you believe that Deprojection Rhinoplasty may be the right choice for you, don’t hesitate to schedule a consultation with Dr. Patrick Cleveland in Palm Beach county. A consultation with him will provide you with valuable insight into your options and a deeper understanding of all facets of your nose and the rhinoplasty experience. He will carefully assess your needs and goals, providing expert guidance and personalized care to ensure the best possible outcome and once you decide you are ready for surgery, he will be there to give you the nose you always hoped for.