Maybe. Dr. Shah just performed a study looking at nasal tip projection with septoplasty on cadavers. All of the noses lost projection after the completion of more advanced SMR techniques. It is critical that if your nose has an advanced septal deviation, an expert in external as well as internal support of the nose can perform the surgery. Your surgeon should be able to reestablish projection in case there is a noticeable change. If he can not, consider looking elsewhere. In addition, if you require the support of the nasal valves, your nose will likely become slightly fuller alongside the nasal tip. Usually, this is temporary fullness, but in patients with sufficient collapse requiring larger grafts, this fullness may be permanent.