The goal of the nasal tip plastic surgery is to reduce or increase, change the shape or/and projection, rotation and contour the tip. This report presents our technique for the reduction and lifting of the nasal tip with a proportional reduction (trim) of the alar cartilage and suture technique--cranio-caudal transdomal sutures. The aim of this study is to analyze and compare the effectiveness of three tipplasty suture techniques to modify nasal tip projection and rotation. Our research is based on 297 operated patients, 165 of them were women (55, 5%) and 132 were men (44, 5%). Rhinoseptoplasty with open approach was applied to 144 of them (48, 4%) and to 153 (51, 6%) of the patients was applied endonasal (delivery) approach. In this paper we compare the postoperative results of three suture methods. We discuss advantages and shortcomings of our technique, compared with the other surgical procedures. There is no one "right" way to nasal tip surgery, only optimal methods for individual cases.
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http://dx.doi.org/10.1007/s00405-008-0758-x | DOI Listing |
Ann Chir Plast Esthet
March 2024
Service de chirurgie cervico-faciale et ORL, hôpital NOVO, centre Pontoise, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
Nasal tip plasty is a real functional and aesthetical challenge in rhinoplasty. Many techniques have been described with different degrees of variability. The classic technique is the vertical division of the domes with section of the intermediate domes and directed healing without suture or cartilaginous grafting.
View Article and Find Full Text PDFAesthetic Plast Surg
April 2023
Department of Plastic Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Background: Lower lateral cartilage repositioning (LLCR) is an effective technique that places the lateral crus in a newly created caudal pocket, and is utilized for a variety of indications including cephalic malposition, alar asymmetries and tip rotation/projection alteration. However, there is a relative sparsity in the literature regarding this procedure and the dynamic changes that it produces. In this study, we report our experience with LLCR in regard to its indications and related interplays.
View Article and Find Full Text PDFJ Craniofac Surg
October 2022
Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Secondary cleft lip nasal deformity is complicated with wide spectrum of defect and varied reconstructive procedures. There has been no unanimous solution for a given problem. In case of a localized alar depression in unilateral cleft lip nasal deformity, the conchal cartilage applied as arch graft was proposed.
View Article and Find Full Text PDFJ Craniofac Surg
October 2022
Department of Plastic, Reconstructive, and Aesthetic Surgery, Faculty of Medicine, Ege University, Izmir, Turkey.
The bulbous and box tips are two common morphologies encountered in rhinoplasty. Nasal tip reshaping is a challenging aspect of rhinoplasty. Understanding the classifications of nasal tip morphologies aids when performing a nasal-facial analysis.
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