Introduction Ideal positioning of the nasal tip is a very important element to a successful rhinoplasty. Tip projection, rotation, angulation of the infratip lobule, and the columellar-labial junction are controlled by the surgeon. There are numerous methods described in the literature regarding tip stabilization[1][2][3][4]. These include but are not limited to, medial crura binding suture,… [Read More]
Nasal Tip
Long term evaluation of the Goldman nasal tip procedure. A ten-year follow-up
Abstract Many skilled surgeons are hesitant to apply the Goldman technique to their patients in fear of the consequences on the external nasal valve and overall to the nasal patency due to the fact, that it is an irreversible technique. In this study we prove that these fears are unjustified because both the aesthetic and… [Read More]
Nasal Tip Contour and Support Management
ABSTRACT The “structure rhinoplasty” avoids the typical unfavorable outcomes resulting from old fashion “resective techniques”. Reconstructing the nose with support tip grafts helps us to be more accurate in projection, rotation and definition. In 2009 we started to use septal extension graft (SEG), which was the milestone to get more predictable long term tip projection… [Read More]
Seeing through the Envelope: The Cartilage Shape Requirements for an Aesthetically Pleasing Nasal Tip
1. Anatomy and Structure of the Nasal Tip The nasal architecture is complex, and assessing its external appearance requires critical understanding of the underlying structure. Although the aesthetic goal of rhinoplasty surgeries sets the framework for the task at hand, the inherent anatomy often guides the operative technique1,2. Its composition of skin, fibrofatty soft tissue,… [Read More]
Supporting the Nasal Tip
Intro/Background: Controlling the shape and position of the nasal tip has been described as the single greatest challenge in rhinoplasty. In his textbook, Surgical Anatomy of the Nose, Tardy states it is impossible to sculpt the nasal tip and predict healing without completely understanding the tip support mechanisms of the nose1. Whether performing an open… [Read More]
Integrated Alar-Lateral Crural Strut Graft: A Novel Technique for Optimizing Tip Dynamics and Sidewall Support
Funding/Financial disclosure: The authors have no financial interest to declare in relation to the content of this article. No external funding was received. Keywords: rhinoplasty, nasal tip, alar rim, lower lateral cartilage, sidewall, lateral crural strut graft, alar rim graft, nasal valve Abstract: The lower lateral cartilages are critical structures for maintaining tip projection, refining… [Read More]
Overprojected Nasal Tip: Technique To Decrease The Nasal Tip Projection
INTRODUCTION The overprotected nose, also known as the “Pinocchio nose”, is a frequent reason for consultation in the daily practice of a facial plastic surgeon. In this group of patients, the nose becomes the main point of the attention of the face due to its larger dimension and often results in the loss of balance… [Read More]
Tongue in groove technique for nasal tip positioning
Keywords: Rhinoplasty, nasal tip, projection, tongue in groove. Background The aesthetic surgical mastery of the lower third of the nose has long been recognised as one of the most challenging parts of doing rhinoplasty. Rhinoplasty surgeons use a variety of surgical techniques to obtain the desired aesthetic results. Surgeons over the years have tried a… [Read More]
Nasal Tip Rotation And Projection
Rhinoplasty surgical procedure is one of the most interesting and complex aesthetic surgical procedure… proved by the number of secondary rhinoplasties. The main goal of aesthetic and artistic rhinoplasty is to achieve a natural look of beauty enhancement and most harmonious face. There is no one standart rhinoplasty but many rhinoplasties that have to suit… [Read More]
Nasal Tip Surgery – The M-Arch Model
“He who masters the nasal tip, masters rhinoplasty” [1] The nasal tip is arguably the most difficult aspect of rhinoplasty to master. The complex architecture of the nasal tip cartilages, ligaments, and soft tissue envelope of the nose are difficult to control surgically. Nasal tip dynamics, which can affect both function and aesthetics, are influenced… [Read More]