Female patient who complained of an over-projected and long nose on the profile and a bulbous tip on the front view. She was noted to have an over-projected bridge with vertically-oriented nasal tip cartilages. The vertical orientation of the nasal tip cartilages made for a longer nose on the profile view with a droopy tip. The vertical orientation of the tip cartilages also provided for the bulbous appearance to the tip on the frontal view. Primary open rhinoplasty techniques entailed the de-projection of the nose. Nasal tip cartilages were re-positioned in a more horizontal direction which allowed for the simultaneous refinement to the tip while preserving tip function and natural-appearing tip aesthetics. Caudal septal extension graft with lateral crural strut grafts were used to re-position the tip cartilages and maintain the tip’s structural integrity. Base view also included to demonstrate tip de-projection while maintaining a natural, pyramidal tip shape.
- Anthony Bared, M.D., F.A.C.S.
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- United States, FL, Miami, 6280 Sunset Dr #506, 33143
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