Dissatisfaction with Nasal Tip Shape: Secondary Tip Maneuvers

Moyer, Jeffrey S.

doi:10.1055/s-0038-1653988

Cited by 5 publications

(2 citation statements)

References 39 publications

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“…The lower lateral cartilage is too thick or too wide and the upper lateral cartilage lacks a step transition, resulting in a shallow nasal sulcus. The upper lateral nasal skin is thicker, resulting in a bloated nose and nasal wing 17,18. In addition, because of local early swelling or scar growth after surgery, postoperative hyperplasia at the nasal sulcus can also lead to temporary or long-term disappearance of shallowing, making the nose fatter and more rounded 19–21.…”

Section: Discussionmentioning

confidence: 99%

“…The upper lateral nasal skin is thicker, resulting in a bloated nose and nasal wing. 17,18 In addition, because of local early swelling or scar growth after surgery, postoperative hyperplasia at the nasal sulcus can also lead to temporary or long-term disappearance of shallowing, making the nose fatter and more rounded. [19][20][21] Therefore, it is very important to reshape the nasal alar groove to reduce the nose tip and shape the delicate nose tip.…”

Section: Discussionmentioning

confidence: 99%

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Nasal Tip and Alar Groove Plasty Through External Nasal Cutting in Asians: A Clinical Study

Tang

et al. 2022

Journal of Craniofacial Surgery

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Objective: Nasal tip hypertrophy is common in Asians, and its reshaping is very critical in rhinoplasty. For patients who refuse any implant placed in the nose, there are limited options for tip reshaping. Herein, we introduce a new procedure of nasal tip and alar groove plasty through external nasal cutting in Asians. Methods: A total of 20 patients who had hypertrophic nasal tip and refused to have any implants were included in this study. They were performed this procedure of nasal tip and alar groove plasty through external nasal cutting. The authors carefully reviewed the patients' medical records and preoperative and postoperative photographs. Self-reported satisfactions of patients with the scar morphology and correction effect were assessed at postoperative every follow-up using a questionnaire survey. Results: All of the patients' procedures were completely successful, and the hypertrophic nasal tip was improved. In the long-term postoperative follow-up, the patients' wound showed no abnormalities such as scar contracture deformity, scar bumps, and nasal deformation. In 1 patient, the nasal wound developed significant scarring, and we performed reoperation to remove the superficial scar tissue. Surgical scars in the remaining patients were not obvious. Eight patients (8/20) reported "very satisfied" with scar shape and nasal tip shape improvement results, and 10 patients (10/20) reported "satisfied" with the outcomes. Conclusions: This procedure of nasal tip and alar groove plasty could be an alternative for making the nasal tip more refined. However, the surgical indications for this procedure need to be strictly limited to specific patients. Level of Evidence: Level IV.

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Section: Discussionmentioning

confidence: 99%