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…
The Problem 1. Ptotic nasal tip 2. Overprojected nasal tip The Background Precise control of nasal tip position may be one of the most challenging aspects of rhinoplasty. The lateral crural overlay (LCO) technique was first described by Kridel et…
The Problem Work on the nasal tip is done to improve rotation, projection, and definition. This can be done with sutures and or grafts. In this chapter, we will focus on contemporary grafting techniques for the nasal tip. The lower…
The Problem Wide, firm, convex lower lateral cartilages. The Background Among all the anatomic nasal aesthetic problems that bring a patient to the plastic surgeon, the boxy tip is very common, especially in the female patient. The firm, abundantly convex…
The Problem Creating normal structure and shape to the nasal tip. The Background If rhinoplasty is the most difficult procedure in aesthetic plastic surgery, tip plasty is arguably the most difficult procedure in rhinoplasty. In our experience, the most frustrating…
The Background A piezotome is an electrically powered ultrasonic tool that delivers rapid and controlled cutting of bone ( Fig. 30.1 ; Video 30.1). It has been available to dentists, maxillofacial surgeons, and neurosurgeons for dental and craniofacial osteotomy, but…