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Sam P. Most

Case Explication

Posted by Sam P. Most on September 27th, 2011

Corresponding author: Sam P. Most, MD
Associate Professor & Chief
Division of Facial Plastic and Reconstructive Surgery
Stanford University School of Medicine
801 Welch Road
Stanford, CA 94305
smost@ohns.stanford.edu
Phone:  650-725-5950

Coauthor: Charles R. Woodard, MD
Clinical Instructor
Division of Facial Plastic and Reconstructive Surgery
Stanford University School of Medicine
801 Welch Road
Stanford, CA 94305
cwoodard@ohns.stanford.edu
Phone: 650-725-6640

The authors have nothing to disclose.

Chief Complaint
Nasal obstruction and nasal deformity

History of Present Illness
30 year old female presented to the office with complaints of long-standing right > left nasal obstruction.  There were no alleviating or aggravating factors.  She denied nasal trauma or a history of nasal surgery.  Additionally, she had aesthetic concerns regarding her nose.  She wanted reduction of the dorsum and elevation of her tip.

The Ptotic Tip

Posted by Sam P. Most on March 16th, 2011

Corresponding author: Sam P. Most, MD
Associate Professor & Chief
Division of Facial Plastic and Reconstructive Surgery
Stanford University School of Medicine
801 Welch Road
Stanford, CA 94305
smost@ohns.stanford.edu
Phone: 650-725-5950

Coauthor: Charles R. Woodard, MD
Clinical Instructor
Division of Facial Plastic and Reconstructive Surgery
Stanford University School of Medicine
801 Welch Road
Stanford, CA 94305
cwoodard@ohns.stanford.edu
Phone: 650-725-6640

The authors have nothing to disclose.

Synopsis
Successful intervention for nasal tip ptosis begins with a careful history and comprehensive nasal analysis.  Identification and correction of the etiology will allow for surgical modification with predictable and reliable outcomes.  Adherence to the tripod theory principles will guide this successful surgical plan.