“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]
Nasal Tip & Aesthetics
Primary Tip Rhinoplasty and Suture Techniques
Each nose is unique with its own characteristics. The patient has an expectation considering to communal perception of beautiful nose, while, the surgeon’s goal is to create a nose that will be admired by the patient, the community, and the surgeon him/herself. There is no doubt that, understanding the patient’s goals is the major issue… [Read More]
Wide marginal incision in rhinoplasty: technique and indications
The internal approach in rhinoplasty requires a surgical experience and an artistic perspective to provide adequate results on nasal deformities. The external approach allows cartilage shaping and grafting through a wider exposition of the entire nasal structure (bones and cartilages), but leaves a columellar scar. The wide marginal approach is known as open rhinoplasty without… [Read More]
The Ptotic Tip 2
SynopsisSuccessful 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. IntroductionA number of different etiologies may contribute to nasal tip ptosis. These… [Read More]
The Bulbous Tip
Introduction Central position of the nose on human face is an obvious fact frequently pointed out in rhinoplasty literature. Nasal tip, being the most prominent part of the nose, attracts the eye, making any imperfection in this region potential concern for a rhinoplasty patient. Broad, bulbous tip with its’ disproportion in width between the nasal… [Read More]
The Bulbous Nasal Tip: a review of current surgical techniques
ABSTRACT Objective: To review the described surgical techniques for addressing nasal tip bulbosity and present a novel application of a previously described technique.Study design: Review.Surgical Methods: Cephalic resection, suture techniques, grafting techniques, techniques involving transection of the dome or lateral crura, and lateral crura repositioning techniques.Conclusion: The surgical treatment of nasal tip bulbosity requires a… [Read More]
The Bulbous Nasal Tip
Introduction Many patients presenting for rhinoplasty evaluation complain that their noses are too large. A subset of these patients complains of a bulbous shape to the end of their nose which they find unpleasing. They may also note nasal obstruction. Proper management of these patients requires identification of the anatomical factors contributing to the bulbous… [Read More]