Nasal Tip Projection: Quantitative Changes Following Rhinoplasty

Transfixion incision as an initial technique in nasal tip deprojection

“…The overall mean of nasal tip deprojection in our study was 1.6 mm immediately after the incision was made. This number may be considered small, but is reasonably comparable with other studies, which found an average of 2.4 mm in tip deprojection when this type of incision was combined with other procedures (10). The thin skin group had a mean deprojection of 2.12 mm, which more closely approximates the average found in combination studies.…”

“…The medial crura attachment to the caudal septum was identified in 1971 as an important component of nasal tip support (3). Further studies by Petroff et al (10) confirmed that this was important in the postsurgical nose. A complete transfixion incision interrupts both mucosal surfaces and medial crural attachments, allowing the tip to settle closer to the face (9).…”

“…It has only been in the past 40 years that we have come to understand the important components of nasal tip support. We now know that one of these components is the medial crura and its attachment to the caudal septum (10).…”

“…Although several studies investigating nasal tip deprojection have included complete transfixion incisions as part of their technique, no study has attempted to qualify the isolated effect of a complete transfixion incision on nasal tip deprojection (10). Although it has been described that patients with differing skin thicknesses may have different results compared with others, there are no studies that have confirmed this.…”

Minimally Invasive Approach for Rhinoplasty

“…Tip projection is conventionally assessed by measuring the distance of the tip-defining point from a facial parameter (i.e., nasion, alar crease) (7,8).…”