Comparison of the Effects of Sheen Graft Surgical Technique and a New Tip Plasty Technique on Nasal Tip Changes: A Randomized Clinical Trial

Management of the nasal tip is the most challenging step in rhinoplasty. Control over nasal tip projection is essential. A variety of techniques can be used to improve the position of nasal tip. The aim of the present study was to compare the changes of nasal tip between a novel tip plasty technique and the conventional sheen graft one. In this clinical trial study, 60 patients referring for rhinoplasty to the Department of Oral and Maxillofacial Surgery, Tabriz University of Medical Sciences, were included. The subjects were randomly divided in two groups: a new tip plasty technique was used for the first group and the conventional sheen graft technique for the second group. The nasal tip changes were compared between them. The means of tip projection were 28.92±4.16 and 26.95±7.30 preoperatively in groups A and B, and they were 33.00±3.86 and 31.29±6.35 after surgery, respectively, with no significant differences in between. The means of tip rotation before surgery were 114.10±7.53 and 113.08±9.94 in groups A and B, while these figures after surgery were 119.46±7.21 and 117.58±8.92, respectively. The new technique is as effective as conventional technique in improving nasal tip. Although the new technique of rhinoplasty is much easier.