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Primary Nasal Tip Surgery: A Conservative Approach

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Aesthetic Plastic Surgery Aims and scope Submit manuscript

An Erratum to this article was published on 26 January 2013

Abstract

Background

Rhinoplasty and rhinoseptoplasty are very important and complex surgical procedures because the nose plays a pivotal aesthetic role in the face and an important functional role in breathing. Mild bulbous, plunging, undefined tips are very common, and tip refining and repositioning often are required surgical procedures.

Methods

For 97 selected patients, the authors performed their personal technique consisting of a transcartilaginous approach, incomplete vertical interruption, and retrograde undermining of the lower lateral cartilages to improve tip projection and definition. The five aspects analyzed were nasal tip symmetry, nostril symmetry, tip projection, tip definition, and appearance of the nasal tip only. Each parameter was assessed using pre- and postoperative quantification according to a visual analog scale. Postoperative evaluation was performed during a mean follow-up period of 1 year.

Results

The results at 1 year showed high rates of improvement in tip definition (mean, 7.9 ± 2.4) and nasal tip only evaluation (mean, 6.5 ± 3.1). The patients reported an improvement in nasal tip symmetry (mean, 4.2 ± 3.2), nostril symmetry (mean, 4.5 ± 4.1), and tip projection (mean, 5.8 ± 2.9).

Conclusions

This simple, safe, and effective technique is proposed for mild bulbous, plunging, undefined, and hypoprojected tips.

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Authors and Affiliations

  1. U.O. Chirurgia Plastica 2, Dipartimento di Medicina Traslazionale, Università degli Studi di Milano, IRCCS Istituto Clinico Humanitas, Via A. Manzoni 56, 20089, Rozzano, Milano, Italy

    Marco Klinger, Davide Forcellini, Valeria Bandi, Luca Maione & Valeriano Vinci

  2. Cattedra di Chirurgia Plastica, MultiMedica Holding S.p.A. U.O.C. Chirurgia Plastica, Università degli Studi di Milano, Sesto San Giovanni, Milan, Italy

    Fabio Caviggioli & Francesco Klinger

  3. Unità Operativa di Otorinolaringoiatria, Ospedale di Crema, Crema, Italy

    Angelo Virgilio Pagliari

  4. Dipartimento di Scienze Chirurgiche Specialistiche, Università degli Studi di Milano, Milan, Italy

    Riccardo Francesco Mazzola

Authors
  1. Marco Klinger
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  2. Fabio Caviggioli
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  3. Davide Forcellini
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  4. Valeria Bandi
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  5. Luca Maione
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  6. Valeriano Vinci
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  7. Angelo Virgilio Pagliari
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  8. Francesco Klinger
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  9. Riccardo Francesco Mazzola
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Corresponding author

Correspondence to Marco Klinger.

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Klinger, M., Caviggioli, F., Forcellini, D. et al. Primary Nasal Tip Surgery: A Conservative Approach. Aesth Plast Surg 36, 485–490 (2012). https://doi.org/10.1007/s00266-011-9839-0

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  • DOI: https://doi.org/10.1007/s00266-011-9839-0

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