Stabilization of nasal tip support in nasal tip reduction surgery.

摘要

The usual culprit behind most postrhinoplasty tip abnormalities is aggressive resection of the lower lateral cartilages (LLCs) in an attempt to refine the nasal tip. While the results may be esthetically and functionally acceptable in the short term, the dead space that is created is subject to continued, long-term contracture, resulting in undesirable esthetic and especially functional consequences. Herein, we describe a practical classification system for tip-plasty, which focuses on conservative measures aimed at stabilizing and reorienting the cartilaginous structures and support instead of reducing them. These 4 techniques preserve the structural integrity of alar cartilage, reduce the dead space for more predictable healing outcomes, and save or even strengthen the tip complex.