Alternative technique for tip support in secondary rhinoplasty

Alternative technique for tip support in secondary rhinoplasty.

BACKGROUND Re-establishing nasal tip projection is one of the main objectives in secondary rhinoplasty. The columellar strut is used as a basic element for support and the septal cartilage graft as the first choice for reconstruction. Nevertheless, the septal cartilage is often missing in this category of patient because of previous surgery, obliging the surgeon to seek a safe, effective, and v...

The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty

Background: The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision di-vides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertic...

Nasal Tip Dermoid Sinus Cyst Excision by Open Rhinoplasty Technique

Nasal dermoid sinus cysts (NDSCs) are uncommon midline developmental anomalies with an estimated incidence of 1:20,000 to 1:40,000 births.1,2 NDSCs are distinct from dermoids in other regions; they may have an intracranial extension, requiring careful interventional strategies. These lesions can be present anywhere in midline, as sinus or cyst, from glabella to columella, with glabella being th...

Secondary rhinoplasty

Domal stabilization suture in tip rhinoplasty.

OBJECTIVE To investigate use of the domal stabilization suture as a complementary suture modification technique for refining and securing the nasal tip. METHODS A single permanent or absorbable suture is placed via an open or cartilage delivery approach. The suture is placed along the cephalic borders of the domes at the medial third of the lateral crura bilaterally just posterior to the junc...