New technique for corrective surgery of nasal tip.

Abstract

IN RHINOPLASTY correction of nasal tip has challenged surgical skill and esthetic sense of surgeons. It is, in effect, axiomatic that the tip makes nose. It can also be said that most of imperfections in a rhinoplasty are readily discernible in reconstructed tip. One may ask: What are surgical and esthetic errors and mistakes in failures to approximate perfect nasal tip ? The pinched-in surgical tip is not only esthetically inadequate but also, as a rule, functionally imperfect. The sacrifice of cartilage or vestibular skin or mucosa, with healing followed by contracture-induced synechiae between lateral crus and septum or columella and, in some cases, between lateral nasal wall, septum, and mesial crura, often gives a bizarre effect. The production of alar clefts, alar collapse, vestibular stenosis or artesia, dimples and dents in alae, web-like cicatrices in vestibule, and scar