How is an under-projected tip fixed during rhinoplasty?
This is not a question I can answer in a few words online! There are chapters and textbooks dedicated to the under projected nasal tip. Essentially the lower lateral cartilages must be altered to improve the projection. This may involve any series of rhinoplasty maneuvers from least to most invasive. Columellar strut, tip grafts, cap grafts, vertical dome division, Simons or Goldman’s tip, lateral crural steal are just a few of the rhinoplasty techniques that can be used to increase nasal tip projection.