Facial plast Surg 2006; 22(1): 042-048
DOI: 10.1055/s-2006-939951
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Applications of the M-Arch Model in Nasal Tip Refinement

Peter A. Adamson1 , Jason A. Litner1
  • 1Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Ontario, Canada
Further Information

Publication History

Publication Date:
29 May 2006 (online)


The M-arch model of nasal tip dynamics provides an elaboration and modernization of the tripod concept to better permit understanding of the effects of various tip-altering maneuvers on the overall form and function of the tip complex. It defines the tip complex as paired arches whose overall length determines the major nasal parameters. This length may be adjusted at numerous points within the arch to effect specific desirable changes. This article provides a practical account of the M-arch model with case-based examples to better demonstrate its applicability.