ABSTRACT
The authors stress that conservative correction should be the main goal in rhinoplasty
in general and in the surgical treatment of the nasal tip in particular. After outlining
contemporary concepts and criteria relating to the modeling of an aesthetically pleasing
nasal tip and the consequent surgical planning for its achievement as well as the
specific indications for tip plasty, they go on discuss the technical aspects of tip
projection and rotation. A personal technique is proposed for reshaping and sculpturing
the tip, completed by a double interdomal suture with different application points
during closed rhinoplasty. The technique also involves ancillary procedures consisting
in the execution of a series of incisions with a radial pattern at the domal level
and, when necessary, in the undersurface of the lateral crus. The procedure is explained
in detail and the results are illustrated and discussed.
KEY WORDS
nasal tip surgery - rhinoplasty - suture tip plasty
