“…Due to anatomical variations, especially in the major alar cartilages and the envelope of skin and subcutaneous tissue, a protocol was created describing several techniques for nasal tip definition. 10 With a systematic approach to preoperative planning, 10 it is possible to achieve satisfactory postoperative results, thus making rhinoplasty less intimidating, despite its reputation as one of the most challenging procedures in facial plastic surgery. 3,5,9 Thus, the present study used a protocol published in the literature, 10 for the gradual approach to nasal tip definition, based on anatomical features, which allow the surgeon to correct simpler deformities in thin-skinned patients, using conservative techniques, reserving the more complex techniques for larger tip deformities in patients with thick skin.…”