Personal Evolution in Rhinoplasty Tip Shaping: Beyond the Tripod Concept.

Plast Reconstr Surg

From the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine.

Published: October 2022

AI Article Synopsis

  • The "tripod concept" has been fundamental in understanding nasal tip dynamics in rhinoplasty for over 50 years.
  • The article presents a modern algorithmic approach to shaping the nasal tip, focusing on techniques such as reshaping lower lateral cartilage and using septal extension grafts.
  • Key aspects discussed include intraoperative sequencing, technical considerations, classification schemes, and overall decision-making in the rhinoplasty process.

Article Abstract

Introduced over 50 years ago, the "tripod concept" has long been the foundation of our understanding of tip dynamics in rhinoplasty. Modern approaches to rhinoplasty have built on these principles and seen the evolution of several operative techniques to address tip aesthetics. This article and accompanying case video detail our algorithmic approach to tip shaping, based on the use of complete lower lateral cartilage reshaping and tensioning, clarified use of medial crural transection and overlap, with stabilization on a fixed-floating septal extension graft, and deliberate management of the soft-tissue envelope. The intraoperative sequencing, key technical considerations, relevant classification schemes, and global decision-making processes are reviewed. .

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Source
http://dx.doi.org/10.1097/PRS.0000000000009577DOI Listing

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