Nasal Tip Reduction

Nasal Tip Reduction Related Terms:
Cosmetic Procedure, Nose Job, Nose Surgery, Plastic Surgery, Asian Rhinoplasty, Face Procedure, Nasal Bridge Augmentation, Nasal Bridge Reduction, Nasal Tip Augmentation, Nose Lift, Nose Reshaping, Nose Surgery, Revision Rhinoplasty, Rhinoplasty, Septorhinoplasty


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Nasal tip reduction is performed by the plastic surgeon when the nasal tip is prominent and mars the facial aesthetics. The subunits of the nose are the nasal dorsum, nasal tip, nasal sidewalls, alar lobules, and the facets or soft tissue triangles. The fibrous attachment between the medial crura and the caudal nasal septum is the major support for the nasal tip. The fibrous tissue connecting the upper and lower lateral cartilages is also another important support for the nasal tip. The nasal tip should normally have two symmetric tip-defining points. The tip-defining point is generally the highest point of the nasal tip cartilages.

Methods of Correction of Underprojection of Nasal Tip

In the nose procedure of nasal tip reduction, the cosmetic procedure adopted is normally interrupted or complete strip technique with reconstitution by sutures. The lower later crus that is lateral to the nasal domes is excised. Then the medial portion of the crus would overlap and it would be sutured to the lower lateral cartilage. In this cosmetic procedure, tip rotation would be achieved but maintaining symmetry would be crucial to the success of this plastic surgery.

Sometimes, the surgeon would select an open or a closed approach for rhinoplasty, depending on the complexity of the situation. In the open approach, the incision would be made across the base of the dorsum. In the closed approach, the surgeon would make the incisions inside the nose at the top area of the nose to remove the require amount of cartilage and achieve nasal tip reduction.

In certain cases, the surgeon might resort to vertical dome division for the nose job. The dome would be divided and the excess cartilage at the center of the incision would be removed. The vestibular skin would be elevated and the cartilage reconstituted with suture. If the patient is thin-skinned, tip grafts might be required for camouflaging in this delicate nose procedure.

nasal tip reduction - News update:
Abstract  Tip surgery, the most important part of the rhinoplasty procedure, has entered a new era in the past few decades. Various treatment protocols have been attempted. To date, however, opinions on the management of the Asian tip have not been solidified. To generalize and provide appropriate guidelines for the treatment of typical Asian tips, an English literature search from 1977 to March 2007 was conducted. Finally, a total of 26 papers were selected for review. The full text of each paper was read carefully, and data were extracted. Then all extracted information was imported into Microsoft Excel. Nine articles treating 11 groups of patients described the suitable techniques for Asian nasal tips, with 81.8% of the groups advocating that the protocol include a grafting technique, 64% reporting use of the grafting technique alone, and 9% applying cartilage reduction and a suturing technique. Of the 11 (18%) groups, 2 attempted more than one technique. Because of the Asian nasal tip’s innate qualities, success with nasal tip plasty for Asians depends on the combined application of appropriate suturing, grafting, and defatting, with grafting techniques contributing the most. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00266-008-9114-1Authors Guang-Yu Mao, Shanghai No.6 People’s Hospital, Shanghai Jiao Tong University Department of Plastic Surgery 600 Yi Shan Road Shanghai 200233 ChinaSong-Lin Yang, Shanghai No.6 People’s Hospital, Shanghai Jiao Tong University Department of Plastic Surgery 600 Yi Shan Road Shanghai 200233 ChinaJiang-Hong Zheng, Shanghai No.6 People’s Hospital, Shanghai Jiao Tong University Department of Plastic Surgery 600 Yi Shan Road Shanghai 200233 ChinaQing-Yang Liu, Shanghai No.6 People’s Hospital, Shanghai Jiao Tong University Department of Plastic Surgery 600 Yi Shan Road Shanghai 200233 China Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) More...

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