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Facial Plast Surg 2022; 38(01): 021-031
DOI: 10.1055/s-0041-1735561
Original Article

Narrowing the Wide Tip via Endonasal Approach

Omotara Sulyman 
1   Department of Otolaryngology, Head and Neck Surgery, University of Illinois at Chicago, Chicago Center for Facial Plastic Surgery – Office of Steven Dayan, Chicago, Illinois
,
Steven Dayan
1   Department of Otolaryngology, Head and Neck Surgery, University of Illinois at Chicago, Chicago Center for Facial Plastic Surgery – Office of Steven Dayan, Chicago, Illinois
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Abstract

Rhinoplasty is arguably the most complex and intricate surgery performed by facial plastic surgeons. Nasal tip refinement of a broad nasal tip has remained the most challenging part of rhinoplasty as sophisticated techniques are critical to achieve aesthetically pleasing and structurally sound nasal tips that can withstand the contractile forces of healing. Successful tip refinement relies on an in-depth preoperative and intraoperative understanding of the patient's nasal anatomy, well developed arsenal of techniques, the experience of the surgeon, and the aesthetic desires of the patient. Although the approach to gain access to the nasal tip so as to successfully reshape the tip has been a topic of debate over many years, the aim of this article is to outline and demonstrate how the broad nasal tip can be successfully recontoured through an endonasal approach using nondestructive techniques that have been effectively used in open rhinoplasty. We believe that there continues to be a place for endonasal tip rhinoplasty especially in this era in which patients desire less invasive procedures with shorter healing time.

Keywords

rhinoplasty - endonasal rhinoplasty - closed rhinoplasty - tip rhinoplasty - broad tip - bulbous tip - boxy tip - trapezoid tip


Publication History

Article published online:
14 September 2021

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