Supratip-plasty: a completely cartilaginous tip complex to maintain nasal tip width.

Abstract:

BACKGROUND:Following primary rhinoplasty, the nasal tip may become wider on front view, possibly due to splaying of the lateral crura. OBJECTIVES:The authors describe a technique, the "supratip-plasty," to create an all-cartilaginous supratip that resists splaying and postoperative broadening of the nasal tip complex. METHODS:Thirteen consecutive primary rhinoplasty patients (10 women; 3 men) with broad nasal tips received a supratip-plasty (which preserved the cephalic part of the lateral crus, reducing it in size and securing it to the dorsal septum, resulting in a completely cartilaginous tip framework) and were followed for 11 to 17 months. Since the frontal tip width (TW) is relative to the frontal nasal base width (NBW), the TW/NBW ratio was contrasted to that of 19 unoperated aesthetically pleasing nasal tips. RESULTS:Of the 13 cases, all but 1 were considered to have a good result. The preoperative mean TW/NBW ratio was 0.68. The postoperative mean was 0.53, compared with 0.48 in the unoperated aesthetic tip group. No tip revisions were necessary; however, 2 patients did require revisionary surgery for nontip problems. CONCLUSIONS:Preserving a cephalic island of lateral crus, trimming it to fit the new supratip contour following suture tip-plasty, and securing it to the septum provides a completely cartilaginous nasal tip framework that tends not to widen postoperatively.

journal_name

Aesthet Surg J

authors

Gruber RP,Kwon E,Berger A,Belek KA

doi

10.1177/1090820X13515269

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

34-44

issue

1

eissn

1090-820X

issn

1527-330X

pii

1090820X13515269

journal_volume

34

pub_type

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