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Northern Mediterranean Nose Correction: The Italian Experience: Tip Surgery

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Mediterranean Rhinoplasty

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Abstract

Identifying a common type of nose in the north Mediterranean is difficult because of the fact that many peoples with different phenotypes belong to this geographical area. However, the Mediterranean nose has well-defined characteristics, mainly a prominent nasal dorsum and an acute nasolabial angle. The ideal nose for the Mediterranean ethnicity is one that is as natural as possible and does not look like it has undergone surgery. In this chapter, the most common malformations of the nasal tip are analyzed, with an indication of techniques for their surgical correction. After a brief digression into the history of the Mediterranean nose in art, the macro-areas of deviated tip, tip rotation and support, projection modification, volume modification and definition, and malformation and malposition of the lateral crura are discussed. Finally, a final section is devoted to the intra- and postoperative management of thin skin and thick skin. In conclusion, there is no specific surgical technique that allows us to obtain an ideal result in the Mediterranean nose. We must have many tools in our surgical arsenal, each corresponding to a specific surgical technique, to be used at the right time and when faced with a specific malformation, and be able to resolutely make a preoperative plan for a procedure, yet also be able to change course depending on the intraoperative condition found.

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Authors and Affiliations

  1. Assunzione di Maria Santissima Clinic, Rome, Italy

    Marianetti Tito Matteo

  2. MarianettiMed Clinic, Avezzano, Italy

    Marianetti Tito Matteo

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  1. Marianetti Tito Matteo
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  1. Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy

    Pier Giorgio Giacomini

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Matteo, M.T. (2022). Northern Mediterranean Nose Correction: The Italian Experience: Tip Surgery. In: Giacomini, P.G. (eds) Mediterranean Rhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-031-05551-5_9

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  • DOI: https://doi.org/10.1007/978-3-031-05551-5_9

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-05551-5

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