From 1991 to 2002, 130 cases used 1 or more of the senior
author’s preferred methods to treat overprojection.
Ten patients were excluded because of the reconstructive
nature of their surgery. On average, these excluded
patients had undergone 3 previous rhinoplasty procedures
before our attempts at correction. Of the remaining
120 patients, 3 (2.5%) required minor revision of dorsal
irregularities, and another 5 (4.2%) required tip
revision. The remaining 112 patients (93.3%) were satisfied
without qualification. Only 9 patients (7.5%) underwent
alar base reduction. Another 8 patients (6.7%)
underwent chin implants. Also of interest, only 3 patients
(2.5%) in this cohort underwent radix grafts. Sixteen
(13.3%) of the patients had had previous rhinoplasty
performed by outside physicians. Twenty-two
patients (18.3%) were classified as having tension nose.
Only 1 patient had postoperative epistaxis, and there were
no cases of postoperative functional complaints.
Full-transfixion incisions were made in 30 patients
(25.0%). Forty-seven patients (39.2%) underwent LCO,
11 patients (9.2%) underwent MCO, 9 patients (7.5%)
underwent a combination of LCO and MCO, and another
15 patients (12.5%) underwent dome truncation.
