Asymmetric Nasal Tip

Abstract

Asymmetry of the nasal tip is a common finding in the setting of primary and revision rhinoplasty. Careful preoperative analysis is imperative to identify the anatomic etiology of the asymmetry to develop an appropriate surgical plan to correct it. This article describes the anatomic structures that affect the overall appearance of the nasal tip, explains how intrinsic asymmetries can alter nasal tip appearance, and offers a menu of surgical techniques that can be used to correct these asymmetries.

Dissatisfaction with Nasal Tip Shape: Secondary Tip Maneuvers

“…An early appearance of this disfigurement may be the result of overly aggressive tip suturing, while a late appearance is almost always a result of cartilage overresection that was unable to resist the scar contraction forces of healing. 17,18 Most asym-metries seen in the revision rhinoplasty patient are a result of irregular and weak lower lateral cartilages that are poorly positioned (►Fig. 3A, B).…”

Nasal Tip Projection: Asymmetries after Rhinoplasty

“…Rhinoplasty maneuvers can increase, preserve, or decrease nasal tip projection. Therefore, they can be chosen properly [1][2][3].…”