Aesthetic Plastic Surgery

, Volume 37, Issue 1, pp 16–21

Nasal Tip Plasty: The Delivery Approach Revisited

Original Article Aesthetic

DOI: 10.1007/s00266-012-0020-1

Cite this article as:
Xavier, R. Aesth Plast Surg (2013) 37: 16. doi:10.1007/s00266-012-0020-1

Abstract

The delivery approach, though very appropriate for remodeling the tip of the nose, has been overlooked in recent years and has often been passed over for the open approach. One reason for this is the intercartilaginous incision used for the delivery approach, which may cause scarring at the nasal valve area, leading to postoperative functional obstruction of the nose. The delivery of the alar cartilages is another negative, as this maneuver will disrupt the collagen fibers that attach the upper lateral cartilages to the cephalic margin of the alar cartilages, leading to a weakening of the tip’s support. We propose a modification to the traditional delivery approach by using a transcartilaginous instead of an intercartilaginous incision to prevent damage to the valve area. We also suggest taking advantage of the interference to the tip’s support caused by the disruption of the collagen fibers of the scroll area. The purpose of this article is to describe this modification of the delivery approach and to emphasize the advantages that this controlled interference to the tip’s support may have in selected cases.

Level of Evidence V

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Keywords

Delivery approach Approaches for rhinoplasty Rhinoplasty 

Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013

Authors and Affiliations

  1. 1.Hospital da ArrabidaPortoPortugal
  2. 2.PortoPortugal