Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Dome Division
The Problem
The nose has an overprojected, underrotated, and wide tip. There is a slightly bony-cartilaginous hump, and the skin/soft tissue envelope is thin.
The Background
In rhinoplasty, nasal tip surgery is considered to be the most interesting and difficult part of the procedure. The surgeon has to perform a detailed presurgical analysis of each cartilage’s length. This analysis helps the surgeon to assess the patient’s nasal anatomy and to determine the changes that should be made surgically. The goal is to obtain a natural-looking nose. The lateral crus is the largest component of the tip and plays major roles in its appearance. A long (overdeveloped) lateral crus mainly can cause three different results: drooping nasal tip, wide nasal tip, and overprojected nasal tip. The problem of sagittal overdevelopment of the lateral crura is often associated with concavity and leads to the clinical appearance of a droopy nasal tip. In addition, horizontal overdevelopment of the lower lateral crus can lead to a wide nasal tip. Finally, horizontal and sagittal overdevelopment together can cause an overprojected tip.
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