Abstract
Patients with gland hyperplasia as well as thickening and redundancy of nasal skin who receive treatment that addresses only the support structures generally suffer from lack of definition of the nasal tip. We report on a case in which this problem was treated by redefinition of the nasal dorsum and tip through resection of the redundant skin. The surgical approach involved open rhinoplasty with a columella-alar incision, wide dissection of the dorsum filling, caudal traction, and resection of excess tissue. This method enabled reshaping of the nasal dorsum and tip by readjustment of the cutaneous covering of the osteocartilaginous structures.
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