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…
The Problem 1. Caudal septal deviation 2. Excess columellar show 3. Ptotic nasal tip The Background The tongue-in-groove (TIG) maneuver is an adaptation of previously described techniques. In 1934, Rethi described elevation of the septal membranes along the septal angle…
The Problem Elongation of the short nose adds to the complexity of the rhinoplasty. Presented in this chapter is an extremely reliable technique of nose elongation with or without alteration of the projection. The Background Many techniques have been introduced…
The Problem A deprojected and superiorly rotated nasal tip complex with nasal valve collapse. The small or overresected nose. The Background Arden and Crumley described the history of structural grafting in rhinoplasty. In 1951, Foman et al. described a columellar…
The Problem Creating adequate projection with closed rhinoplasty. Successful rhinoplasty requires integration of all anatomic components of the nose to achieve desirable form and function. Creating a beautiful nasal tip begins with analysis of its intrinsic and extrinsic characteristics: width,…
The Problem 1. Underprojected nasal tip 2. Ptotic nasal tip The Background Underprojection of the nasal tip can be secondary to short medial crura. Goldman first described vertical division of the alar cartilage and underlying vestibular skin to increase the…
The Problem Dorsum reduction and reestablishment of dorsal aesthetic lines is one of the most important steps of rhinoplasty operation. A meticulous dissection of the upper lateral cartilages (ULC) and nasal bones is crucial to achieving an aesthetically pleasing nasal…
The Problem Secondary rhinoplasty presents a unique challenge, testing the surgeon’s artistry, judgement, and ingenuity. Deformities arising from a primary rhinoplasty can range in severity from mild asymmetry on the dorsum or nasal tip to severe distortion and collapse of…
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…
The Problem 1. Overprojected nasal tip 2. Overrotated nasal tip The Background Precise control of nasal tip position may be one of the most challenging aspects of rhinoplasty. The medial crural overlay (MCO) technique was first described by Soliemanzadeh and…