Abstract
The pointed narrow tip results when the entire dome of the lower lateral cartilages, including the vestibular lining, has been excised during the primary procedure. The treatment of this deformity often requires more than just a trapezoid or triangular strut. The acute angles formed by the residual stumps of the lower lateral cartilages have to be trimmed secondarily, and in most cases the nose should also be shortened. The medial segments of the lateral crura are spread and a suitably formed piece of cartilage is interposed between them, producing a smooth, broader, and more rounded tip.
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