Rhinoplasty for hypertrophy of nasal tip / 中华医学美学美容杂志

ABSTRACT

Objective To investigate the therapeutic methods for hypertrophy of nasal tip so as to create an aesthetic shape of nasal tip. Methods The “seagull-wing incision”was used in all patients. According to various nasal tip contours, trimming of soft tissues and reconstruction of alar cartilage were preformed simultaneously. Excessive soft tissue between skin and alar cartilage was removed; after exposing the domal segment of the alar cartilage, cartilage was resected from lateral crus to middle crus with a width of 0.2 cm marginal lateral crus was left. The shape of nasal tip was recontoured by middle crus suture technique. Others deformities of nose were corrected then 10 patients with flat and low nasal tip were operated for nasal augmentation; 9 patients with thickening nasal wing were operated for thinning rim; 3 patients with wide bases of nasal wing were operated for shortening width through intraoral approach and one patient with broad nasal bone was operated with osteotome, infractured and displaced in the midline. An exteral splint was placed over the tape for 5-7 days postoperatively. Results Since 1995, follow-up for 3 to 24 months showed that 25 cases had achieved satisfactory cosmetic effects without secondary deformity except 3 early cases. Conclusion Trimming of soft tissues and reconstruction of alar cartilage are effective methods for correction of hypertrophy of nasal tip.