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Hyaluronic Acid Filler in the Treatment for Drooping Tip: Anatomical Concepts and Clinical Results

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  • Rhinoplasty
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Abstract

The plunging nasal tip is a challenging condition because, although it is predominantly a dynamic deformity which occurs during smiling, it also indicates a structural problem. When a person smiles, the paired depressor septi nasi muscles pull the tip caudally at the same time as the levator labii superioris alaeque nasi muscles pull the alar base and lateral lip cephalically. This movement causes straightening of the alar rim. Even though surgical rhinoplasty is the gold standard to restore nasal appearance, the procedure may fail to treat the dynamic cause of the drooping tip. This article outlines the anatomical concepts that lead to a drooping tip and presents a technique that can treat both the dynamic and structural causes of the drooping tip using hyaluronic acid filler. Cases are also presented that illustrate these concepts.

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Funding

The authors received no financial support for the research, authorship, and publication of this article.

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Authors and Affiliations

  1. Vitoria, Brazil

    Helena Hotz Arroyo Ramos

  2. Florianopolis, Brazil

    Ingrid Paula Lückmann Bernardino

  3. Maringa, Brazil

    Ritha de Cássia Capelato Rocha

Authors
  1. Helena Hotz Arroyo Ramos
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  2. Ingrid Paula Lückmann Bernardino
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  3. Ritha de Cássia Capelato Rocha
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Correspondence to Helena Hotz Arroyo Ramos.

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Ramos, H.H.A., Bernardino, I.P.L. & de Cássia Capelato Rocha, R. Hyaluronic Acid Filler in the Treatment for Drooping Tip: Anatomical Concepts and Clinical Results. Aesth Plast Surg 44, 2173–2182 (2020). https://doi.org/10.1007/s00266-020-01836-6

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  • DOI: https://doi.org/10.1007/s00266-020-01836-6

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