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 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 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…
• Preoperative evaluation must include assessment of nasal function as well as aesthetic goals. • Each approach should be individualized to the patient. Surgical planning must take into consideration form, function, age, gender, and ethnic background. • Computer imaging and…