Over projection of the nasal tip occurs when nasal tip projection exceeds the ideal tip defining point. Nasal analysis defiones this position as 0.67 X ideal nasal length.

Read more on the ultra projecting tip

A nose with an inadequate projection often looks tip heavy and unbalanced.
Remembering that the underprojecting nasal tip occurs when the measured tip projection is less than 0.67 X ideal nasal length.

Frequent findings in patients with inadequate tip projection are a dorsal hump and weakness of the nasal tip cartilages. This apparent high bridge is misleading as a “Reduction” of the hump removes support from the tip. With loss of this support the tip drops and often in these instances the nasal change is a wider, and elongated appearing nose, with a flattened profile.

The nasal tip may loose additional projection with the reduction of the dorsum further compromising the outcome. These undesirable events are prevented if and I consider it is essential step to add structural support to this cartilage complex.

My preference is to use shaped and elongated cartilage grafts taken from the nasal septum. I fix these grafts using sutures in a manner that allows the lower lateral cartilages to be both stabilized and shaped. When tip projection is maintained or restored in this manner, minimal lowering of the apparent hump is all that is required.

This step to position and support the tip is significant another component in a plan to achieve controlled results in nasal surgery.

These changes are planned by detailed analysis and shown prior to the procedure with computer imaging.

It is my strong belief that the result from Rhinoplasty depends on the pre operative nasal assessment. To create controlled change it is absolutely essential to have a detailed plan that is followed during the surgery.

Traditional rhinoplasty techniques are appropriate in 23% of nasal cases That in truth means that the other 77% are in danger of a less than satisfactory result.

A surgical plan is essential and follows careful nasal assessment Ultimately the plan describes the ideal nasal dimensions based on facial proportions. It also identifies any matters of concern.

A good analysis not only determines the ideal nasal tip projection, but also identifies problem noses that are at risk for a poor result.
Examples include noses that have :

• Low radix/Low bridge
• Narrow (weak) middle vault
• Inadequate tip projection
• Alar cartilage malposition

If you are seeking nasal change and desire a result that is in balance and hormony with the face there are answers to your questions available here Rhinoplasty “Making the right choices.”

Allergan has released its latest hyaluronic acid gel. The anti-wrinkle and facial filler is injected under your skin to smooth out wrinkles, facial lines, or scars. The same filler is also used for lip augmentation.

www.juvedermusa.com outlines the use of 2 products Ultra Ultra Plus and describes their indication for injection into the mid to deep dermis for “correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). Side effects were usually mild to moderate lasting 7 days or less and included temporary injection site reactions like redness, pain, firmness, swelling and bumps.”

My personal experience with this filler is that it glides more easily from the syringe to the tissues than its competitor. I have found the injection well tolerated and the clinical results comparable with any of the other “off the shelf fillers.”

One indication that has found favour in the clinic is the enhancement of the cheek or malar area. As aging occurs this zone in particular becomes under filled creating a flat elongated aged appearance. A single treatment of less than 5 minutes can restore a youthful fullness bruising is infrequent and the result achievable without unnecessary anaesthetic procedures..a Win Win for those having the treatment

For more information Christina and Monique can discus the benefits of this and other cosmetic enhancements.

Call 03 95268644.