71 results match your criteria Rhinoplasty Tip Approaches

Preservation Rhinoplasty: Open or Closed?

Aaron M Kosins

Aesthet Surg J 2022 Apr 20. Epub 2022 Apr 20.

Department of Plastic Surgery, University of California, Irvine, Irvine, CA.

Background: Preservation rhinoplasty (PR) is an evolving philosophy.

Objectives: The open approach was used initially, but the author felt a closed approach might be of benefit in certain patients.

Methods: One hundred sixty-two primary rhinoplasty cases were studied retrospectively between January and July 2020. Read More

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Controlling Nasal Tip Projection and Rotation with New Composite Septocolumellar Flap Approaches.

Güncel Öztürk

Plast Reconstr Surg 2022 Apr;149(4):669e-678e

From private practice.

Background: Rhinoplasty is one of the most common and challenging surgeries in the field of aesthetic surgery. For obtaining an aesthetically pleasing nose, it is extremely important to control nasal tip projection and rotation as much as possible. Since the last decade, septocolumellar suture techniques have been most frequently used for modifying and controlling nasal tip rotation and projection and for obtaining a better columellar-labial angle during rhinoplasty. Read More

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Rhinoplasty Dissection Planes (Subcutaneous, Sub-SMAS, Supra-perichondral, and Sub-perichondral) and Soft Tissues Management.

Facial Plast Surg 2021 Feb 25;37(1):2-11. Epub 2021 Feb 25.

Department of Otolaryngology and Head and Neck Surgery, Hospital Universitari Son Espases, Secretaria Otorrinolaringologia, Palma de Mallorca, Baleares, Spain.

Rhinoplasty as an operation is akin to a game of chess, where every maneuver will influence the eventual outcome. Undoubtedly, more than one approach to the nasal soft tissues envelop can produce beautiful and safe results as will be described in the paper namely, the subcutaneous, sub-superficial musculoaponeurotic system, supra- and sub-perichondral planes. For different justifiable reasons surgeons have their preferences, regarding dissection planes on the tip, middle and upper thirds, and regarding the manipulation of the soft tissue layers and nasal ligaments. Read More

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February 2021

Comparing the Effects of Tongue-In-Groove and Septocolumellar Suture With Short and Floating Columellar Strut of Open Rhinoplasty on Nasal Tip Rotation and Projection.

Ceyhun Aksakal

J Oral Maxillofac Surg 2021 02 24;79(2):474.e1-474.e11. Epub 2020 Sep 24.

Associate Professor, Department of Otorhinolaryngology, Gaziosmanpaşa University Medical School, Tokat, Turkey. Electronic address:

Purpose: In rhinoplasty, it is important to maintain the desired tip projection and rotation. The aim of the present study was to compare the tongue-in-groove (TIG) method and the septocolumellar suture method with short and floating columellar strut methods over a six-month follow-up period.

Methods: A total of 69 patients were evaluated. Read More

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February 2021

Double Columellar Strut: A New Method for Tip Surgery-A Study of 642 Cases with a 15-Year Follow-up.

Aesthetic Plast Surg 2021 02 9;45(1):229-241. Epub 2020 Sep 9.

, Immeuble Convergence, 50 rue Berthy Albrecht, 84000, Avignon, France.

Goal: Of the first nasal tip modeling procedures performed, the Anderson tripod concept is the most well known, and many anatomy-related studies have analyzed the components involved in tip surgery. The main goals of nasal tip surgery are to stabilize the tip complex, which largely affects the shape, projection and rotation of the nasal tip.

Objective: The present study describes a new, original method, the double columellar strut and its main advantages compared to conventional techniques used for structural rhinoplasty. Read More

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February 2021

[Excision for congenital nasal dermoid and sinus cyst in children].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Mar;55(3):230-235

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.

To explore the surgical effect and experience of endoscope-assisted excision for congenital nasal dermoid and sinus cyst (NDSC) in children. Fifty-three patients with congenital NDSC treated in Beijing Children's Hospital from January 2007 to December 2018 were retrospectively reviewed, including 30 boys and 23 girls, with the age ranging from 9 to 145 months (mean age 35.6 months). Read More

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Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review.

J Otolaryngol Head Neck Surg 2020 Mar 24;49(1):15. Epub 2020 Mar 24.

Division of Otolaryngology - Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie University, Halifax, Nova Scotia, Canada.

Background: Primary chondrosarcomas of the nasal septum are rare, with a variety of clinical features that evade detection and treatment. While endoscopic surgery has become increasingly accessible, open approaches may be needed to provide adequate visualization for tumour ablation and reconstruction. We report the resection and reconstructive considerations of a septal chondrosarcoma. Read More

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Nasal Reconstruction: Defects that Cross Anatomical Subunits.

Facial Plast Surg 2020 Feb 19;36(1):91-101. Epub 2020 Mar 19.

Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia.

The nose plays a crucial role in the human experience, both aesthetically and functionally. The biomechanics of covering flaps, the importance of a firm framework, and the anatomical basis for aesthetic subunits are imperative concepts as one proceeds through the algorithm of reparative options. The subunits consist of three paired units-the ala, soft tissue facets (also known as soft tissue triangles), and sidewall, as well as three unpaired units-the dorsum, tip, and columella. Read More

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February 2020

The Pillars of the Nose-Crura Shortening for Over Projected Nose.

Open Access Maced J Med Sci 2019 Dec 13;7(23):4036-4042. Epub 2019 Dec 13.

General Hospital "Remedika", Skopje, Republic of Macedonia.

Background: The over projected nose, commonly referred to as the "Pinocchio" nose is a significant challenge to the rhinoplasty surgeon. Firstly, we speak about a very large nose, and secondly, we speak about the correction of nasal cartilages (alar and triangular). Surgical correction of the over projected nose is the most difficult and least predictable component of rhinoplasty surgery. Read More

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December 2019

Video Standards for Rhinoplasty Education: A Review and Recommended Guidelines.

Facial Plast Surg Aesthet Med 2020 May/Jun;22(3):219-224. Epub 2020 Feb 26.

Department of Otolaryngology, Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, California, USA.

Intraoperative videography is widely used to record rhinoplasty procedures, yet little is known about the optimal surgical vantage points at critical procedural steps. To assess commonly used camera angles in public and proprietary intraoperative rhinoplasty videos and discuss approaches to obtaining these viewing angles. Public and propriety rhinoplasty videos were reviewed and categorized based on procedure type, specific area(s) of focus, and camera angles utilized at a series of critical operative steps. Read More

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November 2020

A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty.

Indian J Plast Surg 2019 Sep 30;52(3):270-276. Epub 2019 Dec 30.

Department of Plastic Surgery, Akademikliniken, Stockholm, Sweden.

Open versus closed approach in rhinoplasty is a frequently debated topic in aesthetic plastic surgery. Although good results can often be achieved with either technique, both have unique advantages and disadvantages. In this investigation, we present our experiences of a modified closed-open approach that has been applied on 482 complex primary and secondary rhinoplasties. Read More

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September 2019

Unilateral Cleft Lip Nasal Deformity: Foundation-Based Approach to Primary Rhinoplasty.

Plast Reconstr Surg 2019 11;144(5):1138-1149

From the Division of Craniofacial and Plastic Surgery, Seattle Children's Hospital; and the Division of Plastic Surgery, Hospital for Sick Children.

Background: Cleft lip results in disruption of the nasal foundation and collapse of tip structures. Most approaches to primary rhinoplasty focus on correction of lower lateral cartilages; however, recurrent deformity is common, and secondary revision is frequently required. The authors describe an alternate approach that focuses on the foundation to "upright the nose," without any nasal tip dissection. Read More

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November 2019

The conchal butterfly graft in secondary reconstruction of the bilateral cleft lip nasal deformity.

Int J Pediatr Otorhinolaryngol 2020 Feb 24;129:109737. Epub 2019 Oct 24.

Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia, One Wood Center, 34th and Civic Center Boulevard, Philadelphia, PA, 19104-4227, USA; Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA; Children's Mercy Kansas City and the University of Missouri-Kansas City School of Medicine, 2401 Gillham Road, Kansas City, MO, 64108, USA.

Objectives: The bilateral cleft nasal deformity is characterized by a short columella and a broad, flattened nasal tip. Secondary correction is challenging and often complicated by skin envelope scarring and hypoplastic alar cartilages. Adequate and durable tip projection requires a procedure that adequately augments the nasal tip and maximizes tip support. Read More

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February 2020

The Effect of Anchoring the Columellar Strut Graft to the Lateral Crural Steal Suture in Patients With a Low Nasal Tip: A New Technique.

Hasan Cetiner

J Craniofac Surg 2019 Mar/Apr;30(2):437-441

Health Science University, Elazig Education and Research Hospital, Elazig, Turkey.

Objective: The achievement of consistently superior results in rhinoplasty is difficult. This study aimed to evaluate the effect of anchoring the columellar strut graft to the thread of the lateral crural steal for nasal tip projection and rotation.

Study Design: A retrospective, case-control study. Read More

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Comparative Outcomes in Functional Rhinoplasty With Open vs Endonasal Spreader Graft Placement.

Ann Plast Surg 2018 May;80(5):468-471

Importance: Spreader grafts are commonly used for nasal valve stenosis. There is debate among practitioners regarding the optimal approach for spreader graft placement.

Objective: This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. Read More

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Septal extension graft in "closed" revision rhinoplasty: A simplified technique.

Am J Rhinol Allergy 2017 Jul;31(4):260-264

Valerio Micheli-Pellegrini Study Center, Villa Donatello Clinic, Florence, Italy.

Background: The septal extension graft (SEG) is widely used in secondary rhinoplasty for correction of a short nose with loss of tip support and projection, columellar retraction, and hyper-rotated tip secondary to an overresection of the caudal septum. Although SEG precise fixation can be relatively easy in the external approach, the difficulties of SEG placement in "closed" rhinoplasty can be discouraging.

Objective: To describe an easy surgical technique for SEG placement in endonasal revision rhinoplasty and to analyze the aesthetic results of the procedure. Read More

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Common nasal deformities among rhinoplasty patients in a university hospital in Saudi Arabia.

Ann Saudi Med 2017 May-Jun;37(3):2017-211

Turki Mohammed Aldrees, Prince Salman University, Medical College,, PO Box 152690, Karias 11797, Riyadh, T: 0115886100 ORCID: http://orcid.org/0000-0001-5284-3956.

Background: Rhinoplasty has become one of the most common aesthetic procedures in the world. Few studies from the Middle East have described rhinoplasty patients in the region.

Objective: To investigate common nasal deformities in individuals seeking rhinoplasty at a single institution in Saudi Arabia. Read More

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Effects of the Rhinoplasty Maneuvers on Upper Lip Position and Incisor Show.

Aesthetic Plast Surg 2017 Feb 28;41(1):135-139. Epub 2016 Dec 28.

Case Western Reserve School of Medicine, 29017 Cedar Road, Cleveland, Lyndhurst, OH, 44125, USA.

Background: Smiling involves dynamic movements that include nasal tip descent and upper lip ascent. The effect of rhinoplasty on upper lip position is poorly described.

Methods: One hundred charts were reviewed in reverse chronologic order. Read More

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February 2017

[The anthropometric parameters of the external nose in a Kazakh population with particular reference to the planning of ethnic-specific rhinoplasty].

Vestn Otorinolaringol 2016;81(4):64-68

Astana Medical University. Astana, Kazakhstan, 010000.

The objective of the present study was to determine the anthropometric parameters of the external nose in a Kazakh population for the subsequent elaboration of the algorithms of and approaches to the planning of ethnic-specific rhinoplasty. The study included 500 ethnic Kazakhs (197 women and 303 men) at the age varying from 16 to 25 (mean 20.6±3. Read More

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December 2016

Value of cephalic part of lateral crus in functional rhinoplasty.

Eur Arch Otorhinolaryngol 2016 Dec 24;273(12):4053-4059. Epub 2015 Dec 24.

Department of Otolaryngology Head and Neck Surgery, Vali-Asr Hospital, Imam Khomeini Medical Complex, Tehran University of Medical Sciences, Dr. Gharib Avenue, Keshavarz, Boulevard, Tehran, Iran.

Reshaping of the nasal tip is the most difficult part of rhinoplasty. Over the years, there have been many advances in the field of rhinoplasty, including tip plasty. The goal of these continuous refinements in existing procedures has been to improve both aesthetic and functional outcomes. Read More

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December 2016

Milestones of Asian Rhinoplasty.

Semin Plast Surg 2015 Nov;29(4):213-8

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

The field of plastic surgery originally developed out of the necessity to reconstruct the human body after the destruction of war. However, injured soldiers were not the only people who desired a change in appearance. After World War II, many people in Asian countries sought to attain a more Western look through surgery. Read More

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November 2015

Polydioxanone Absorbable Plate for Cartilaginous Grafting in Endonasal Rhinoplasty: A Randomized Clinical Trial.

JAMA Facial Plast Surg 2016 Jan-Feb;18(1):47-53

DeNova Research, Chicago, Illinois2Chicago Center for Facial Plastic Surgery, Chicago, Illinois.

Importance: The caudal septal extension (CSE) graft maneuver commonly is used to adjust the nasal tip projection. It can, however, be difficult to stabilize and straighten the CSE graft, especially when the procedure is performed through an endonasal approach. Because the stabilization and correct positioning of the CSE graft are vital for achievement of the desired outcome, new approaches must be found that facilitate the technical ease of this procedure. Read More

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A novel method for reconstruction of severe caudal nasal septal deviation: Marionette septoplasty.

Ear Nose Throat J 2015 Jun;94(6):E34-40

Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Adnan Menderes Cad. No. 145 Adapazari, Sakarya 54100, Turkey.

We conducted a retrospective study to compare open and endonasal (closed) approaches to extracorporeal reconstruction of severe caudal septal deviations. From January 1, 2010, through December 31, 2013, 78 patients with severe caudal septal deviation underwent corrective surgery at our hospital. Of this group, 33 patients (mean age: 32 yr) underwent extracorporeal septoplasty via an open approach, and 45 patients (mean age: 35 yr) underwent treatment with a new procedure that we developed: subtotal extracorporeal septoplasty through a closed approach, which we call "marionette septoplasty. Read More

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Comparison of Various Rhinoplasty Techniques and Long-Term Results.

Aesthetic Plast Surg 2015 Aug 7;39(4):465-73. Epub 2015 May 7.

SO-EP Aesthetic & Plastic Surgery Clinic, Seyitgazi Mah. Seyyid Burhaneddin Bulv. No: 51/A, 38050, Kayseri, Turkey,

Background: Various techniques are used in rhinoplasty. These techniques can be classified under transcolumellar approaches and endonasal procedures. Open rhinoplasty without transcolumellar incision (ORWTI) procedure can be described as a combination of these two techniques. Read More

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Multifactorial approaches for correction of the drooping tip of a long nose in East asians.

Arch Plast Surg 2014 Nov 3;41(6):630-7. Epub 2014 Nov 3.

Joseph's Plastic Surgery Center, Daegu, Korea.

A long nose with a drooping tip is a major aesthetic problem. It creates a negative and aged appearance and looks worse when smiling. In order to rectify this problem, the underlying anatomical causes should be understood and corrected simultaneously to optimize surgical outcomes. Read More

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November 2014

Closed rhinoplasty with open approach advantages: extended intranasal incisions and tip rearrangement sutures.

Aesthetic Plast Surg 2014 Aug 6;38(4):653-61. Epub 2014 Jun 6.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Hacettepe University Faculty of Medicine, 06100, Ankara, Turkey,

Background: Two main well-known approaches are used in rhinoplasty: open and closed techniques. This study aimed to define two new tip suture modifications that enhance and stabilize tip shape, projection, and position through an extended infracartilaginous incision with an open rhinoplasty exposure.

Methods: This study investigated 56 consecutive primary rhinoplasty patients 18-51 years of age (mean age 27. Read More

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Rhinoplasty: panel discussion.

Facial Plast Surg Clin North Am 2014 Feb;22(1):25-55

Adamson Cosmetic Facial Surgery Inc., M110 - 150 Bloor Street West, Toronto, Ontario M5S 2X9, Canada; Department of Otolaryngology - Head and Neck Surgery, University Health Network, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Should one use an open or closed rhinoplasty approach? How appropriate is the endonasal approach in modern-day rhinoplasty? Should the tip lobule be divided or preserved? Are alloplastic implants inferior to autologous implants? Does release and reduction of the upper lateral cartilages from the nasal dorsal septum always require spreader graft placement to prevent mid one-third nasal pinching in reduction rhinoplasty? Over past 5 years, how have rhinoplasty techniques and approaches evolved? Read More

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February 2014

Grafting in revision rhinoplasty.

Acta Otorhinolaryngol Ital 2013 Jun;33(3):183-9

Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Milan, Italy.

Rhinoplasty is one of the most difficult aesthetic surgery procedures with a high rate of revision. In revision rhinoplasty the surgeon should explore the patient's concerns and then verify the possibility to satisfy expectations after complete internal and external examination of the nose. For the vast majority of complex secondaries, an open approach is the only reasonable method. Read More

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Current clinical practices of the Rhinoplasty Society members.

Ann Plast Surg 2013 Nov;71(5):453-5

From the *Department of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TX; and †Academic Health Center School of Dentistry, Cleft Palate and Craniofacial Clinics, University of Minnesota, Minneapolis, MN.

Introduction: As rhinoplasty remains among the most challenging and controversial operations in plastic surgery, we sought to elucidate present-day practice characteristics. Members of The Rhinoplasty Society were polled in preparation for the national meeting held in Boston, Mass, on May 2011. The goal was to provide information regarding surgical approaches used as well as technique and practice patterns used. Read More

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November 2013

Contemporary review of rhinoplasty.

Arch Facial Plast Surg 2012 Jul-Aug;14(4):238-47

Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, IL 60612, USA.

We conducted a contemporary review covering advances and trends in primary and functional rhinoplasty as published during the past decade. Specifically, we reviewed studies supporting the evidence for functional rhinoplasty, nasal valve surgery, and septal reconstruction. In addition, key articles discussing cephalic malpositioning of the lower lateral cartilages and tip contouring are reviewed. Read More

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November 2012