In this DVD the surgeon will demonstrate how he manages the over projected nose. The patient has an under-projected chin with an over projected nose. The chin augmentation is performed via a submental incision and demonstrated the use of an extended silastic implant. The external rhinoplasty approach will be described in detail as well as execution of dorsal hump reduction, osteotomies, spreader grafts, lateral crural strut grafts, dome suturing, de-projection of the tip, and alar base reduction.

The de-projection of the tip was performed by setting the medial crura back on the caudal septum. This case demonstrates the structure approach to rhinoplasty demonstrating how tip position can be effectively controlled without using reductive methods. The DVD is constructed to allow the viewer to observe the entire operation or go to specific maneuvers.