The principle of conservative rhinoplasty, called “preservation rhinoplasty” by Daniel, is to improve the shape of the nose while preserving its main anatomic structures, especially the osseocartilaginous vault, and protecting or, even better, improving its main function of ventilation. It…
The Problem A wide nasal tip occurs when the dome and lateral crura are wider than normal. The area between the nostrils and the lateral crura (i.e., the facet polygon) is usually narrow. The overgrowth of the dorsal cartilage and…
The Problem Deformed lateral crura. The Background When modern rhinoplasty was first introduced, it was usually reduction rhinoplasty as championed by Jacques Joseph. Rhinoplasty has gone through different stages of development throughout the years, resulting in two additional schools of…
The Problem The nasal base is an important aspect of the nose that frequently needs to be changed in aesthetic nose surgery. Wide nasal bases that are exacerbated by facial movements are the subject of this chapter. The Background There…
The Problem Wide alar base: aesthetically over-large sill and/or excess alar curve. The Background The widened alar base is a common anatomical variation that is often addressed in the routine rhinoplasty to address aesthetic changes for improving the overall appearance…
The Problem Traditionally, the resection of the cephalic portion of the lateral crura of the alar cartilages has been performed to improve the shape and rotation of the nasal lobule. However, this maneuver frequently leads to aesthetic and functional scar-induced…
The Problem Cephalic malpositioning of lateral crura. The Background Tip refinement is one of the most demanding aspects of rhinoplasty. The tip is a tripod-like structure, of which the left and right lateral crura are the main two pillars. Lower…
The Problem Cephalic malposition of lateral crura. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
The Problem Reductive techniques have become a mainstay in aesthetic rhinoplasty. Most commonly, reduction techniques are applied to the bony and cartilaginous dorsum, septum, and lower lateral cartilages. In this chapter we will discuss specifically reductive techniques to assist with…
The Problem Droopy tip with crowding of upper lip and elongated nose. The Background A droopy tip is one of the most common motivations for an aesthetic rhinoplasty. Drooping may be defined as a nasolabial angle of less than 90…