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…
Often unappreciated in rhinoplasty is the alar–columellar complex. Patients may present with a preexisting hanging or retracted columella or abnormal alar rim or columellar shape and configuration. In the patient with a preoperative normal relationship, certain surgical maneuvers, made to…
Key Points Examination of the patient should be performed before and after decongestion to fully evaluate the factors that contribute to nasal obstruction. The nasal cycle is an alternating one; the total resistance in the nose remains constant. In patients…