Nasal Tip Overprojection

Soliemanzadeh, Peyman; Kridel, Russell W. H.

doi:10.1001/archfaci.7.6.374

Cited by 47 publications

(16 citation statements)

References 18 publications

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“…24,38 True tip overprojection is caused by long crura, a prominent anterior nasal spine, septal hypertrophy, or soft tissue. 37,39 Long medial crura often impart long narrow nares, thin alar rims, and a narrow columella. 40 Long lateral crura may result in a ptotic and underrotated tip.…”

Section: E Overprojected Nosementioning

confidence: 99%

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Cosmetic Rhinoplasty

Boustany¹,

Grover²,

Alnaeem³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Perform a systematic nasofacial analysis. 2. Identify the underlying anatomical cause of specific external nasal findings. 3. Recognize the interrelated effects of operative maneuvers. 4. Develop an appropriate operative plan to address patient concerns. Summary: The rhinoplasty operation is one of the most challenging procedures in plastic surgery, and requires a combination of surgical judgment, knowledge of anatomy, technical skill, and lifelong study. A foundation must be built on clearly defined patient goals and an accurate diagnosis, based on known ideals and their anatomical correlation. It is important to recognize the definitive impact of each operative maneuver to achieve predictable outcomes. This article provides a problem-based approach to common cosmetic nasal deformities.

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Section: E Overprojected Nosementioning

confidence: 99%

“…The cause is typically multifactorial. 39 When planning for tip deprojection, it is important to understand the four primary tip support structures outlined by Janeke and Wright. 37,41 These include the piriform attachments to the lateral crura, scroll ligaments, interdomal ligaments, and septal attachments to the medial crura.…”

Section: E Overprojected Nosementioning

confidence: 99%

Cosmetic Rhinoplasty

Boustany¹,

Grover²,

Alnaeem³

et al. 2023

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…The amphas (horizontal plane) and profile view are important to show the irregularities of the nasal dorsum (dorsal hump), nasal length, nasofrontal angle, naso-facial angle, nasolabial angle [17], [18] (Figure 3). [19] The nasal skin is very important because the thick skin can cause more postoperative oedema and scarring, and less refinement is noticeable. Thin skin is more predictable healing, but less forgiving of minor asymmetries.…”

Section: Figurementioning

confidence: 99%

The Pillars of the Nose-Crura Shortening for Over Projected Nose

Kopacheva-Barsova¹,

Davcheva-Chakar²,

Nikolovski³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: The over projected nose, commonly referred to as the "Pinocchio" nose is a significant challenge to the rhinoplasty surgeon. Firstly, we speak about a very large nose, and secondly, we speak about the correction of nasal cartilages (alar and triangular). Surgical correction of the over projected nose is the most difficult and least predictable component of rhinoplasty surgery. AIM: By performing rhinoseptoplasty we aimed to achieve an ideal landmarks position according to concepts of nasal projection as well as by making preoperative analyses to determine the ideal position for the nasal tip after having understood and defined the ideal position for the nasion. METHODS: We performed a retrospective study of patients who were admitted to ENT University Clinic, University Campus “St. Mother Theresa” Skopje, the Republic of Macedonia in the period 2011-2019. A total of 70 patients were enrolled in the study; 46 women (33%) and 24 men (33%). Operative technique rhinoseptoplasty was realised in 70 patients. All of the 70 (100%) patients underwent preoperative and postoperative evaluation during this period regularly to record the effects of various approaches on nasal projection, rotation, need for revision, and patient satisfaction. RESULTS: All patients used one or more of the preferred methods to treat over projection. Patients who had undergone 2 previous rhino/septoplasty procedures were excluded from the study, and hence, a total of 70 patients were evaluated. Full-transfixion incisions were made in all patients. From 2011 to 2019, in 72 cases, 1 or more of the preferred methods were used to treat over projection. CONCLUSION: The crural anatomy of the nasal tip relates to the size and shape of the lower lateral cartilages (LLC) and their relationship with the caudal septum and upper lateral cartilages (ULC). Modification of nasal tip rotation and projection should attempt to preserve or reconstruct major tip mechanisms.

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“…15,[28][29][30] The alar cartilages themselves are primarily responsible for tip projection, as they not only protrude from the underlying bony framework but also abut the upper lateral cartilages and nasal septum.…”

Section: Anatomy Of the Nasal Tipmentioning

confidence: 99%

“…15,39 Decreasing nasal projection in these patients may lead to worsening of facial and nasal harmony, underscoring the importance of appropriate analysis and diagnosis. Deviation from normal ideals of facial proportions or subunits may erroneously produce the illusion of nasal overprojection.…”

Section: Facial Analysis and Diagnosismentioning

confidence: 99%