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November 1958

Excessive Forward Projection of the Nasal Tip in Rhinoplasty

AMA Arch Otolaryngol. 1958;68(5):598-603. doi:10.1001/archotol.1958.00730020620008

The technique for lowering a nasal tip which projects too far forward is difficult from a technical and an artistic standpoint. Esthetically, the tip of the nose should project at a slightly higher level than the nasal dorsum. When its forward prominence, however, is striking and attracts attention or borders on the grotesque, it approaches a caricature and must be reduced surgically. One should not confuse projection of the nasal tip with its length. A long nose is one whose dimension is unduly great in a caudal direction, whereas projection of the nose denotes an increased dimension directly forward in front of the face. Cryano de Bergerac is the classic example of this deformity. It is interesting to speculate upon the results of a modern and, we hope, successful rhinoplasty upon Cyrano de Bergerac. Certainly he would have been spared many of the arguments and adventures encountered in the play—and

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