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Johan
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Let $S' \subset \mathbb{P}^3$ be the birational projection of a smooth surface $S \subset \mathbb{P}^4$. The general projection theorem of Gruson-Peskine (http://arxiv.org/abs/1010.2399v1) tells you that $S'$ is either smooth or has a curve of double points.

For instance if $S$ is the Severi surface in $\mathbb{P}^4$, then its projection on $\mathbb{P}^3$ (the Steiner surface) has a curve of double points.

So the answer to your question is "never true", unless your surface naturally lives in $\mathbb{P}^3$.

Johan
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