Surgery of the Nasal Tip

Nasal Tip Overprojection

“…5,11,12 Meanwhile, Lipsett 13 pioneered shortening of the medial crura in 1959. Similar modifications as with the lateral crura have subsequently been described by Berman, 14 McCurdy, 15 and Parkes et al 16 Now we would like to incorporate our 12-year experience with a technique that we have defined as MCO.…”

A 20-Year Review of the "New Domes" Technique for Refining the Drooping Nasal Tip

“…Several authors have described this procedure. 1,2,4,[6][7][8][9][10] We measure the width of the cartilage at the level planned for the new dome. If the width is greater than 5 mm, we perform a conservative cephalic excision of the additional cartilage, leaving at least 5 mm width at this new dome level.…”

“…This suture was described by Fomon 1 and Berman. 7 Our technique is as follows: With polypropylene 5-0, we place 2 sutures (Figure 6D). The first is placed at the posterior end of the medial crura.…”

Alar Setback Technique

“…Techniques that depend on shortening the medial crura were pioneered by Lipsett, 16 who, in 1959, de-scribed deprojection of the nasal tip by excising a piece of medial crus with its overlying vestibular skin. Many authors [17][18][19] modified the Lipsett maneuver, mainly by preserving the vestibular skin and suturing the cut ends of the medial crura together. A main step in the Lipsett technique and its modifications is weakening of the alar cartilage to allow its angulation to create a new dome.…”

“…A main step in the Lipsett technique and its modifications is weakening of the alar cartilage to allow its angulation to create a new dome. This was done by furrowing, 16 scoring, 18 or morselizing 17 the newly created domes.…”