background nasal valve collapse and especially internal nasal valve insufficiency is a common cause of nasal airway obstruction. this study compares the effects of spreader graft and overlapping lateral crural technique on rhinoplasty by rhinomanometry. methods fifty patients were randomly assigned into two groups and underwent spreader graft or overlapping lateral crural technique. objective a...

OBJECTIVE To measure the effect of columellar struts and cephalic trim on tip projection and tip rotation using digitized photographs. METHODS Using photographs of 62 patients who underwent external rhinoplasty, we retrospectively analyzed nasal tip projection (the Goode method) and rotation (nasolabial angle) before and after surgery. A cartilaginous strut was used in 36 patients, whereas 26...

Dallas, Texas Background: Projection of the nasal tip is a complex problem that often mandates attention during rhinoplasty. Occasionally, the goal is to decrease tip projection. Most published solutions to this problem involve division or manipulation of the lower lateral cartilages, although objective data on the efficacy of these techniques are limited. This study reviews a series of rhinopl...

OBJECTIVE To assess objectively the effect of 2 cartilage-modifying techniques, lateral crural steal (LCS) and lateral crural overlay (LCO), on the degree of nasal tip projection and rotation. DESIGN A prospective trial using computer imaging techniques for assessment. SETTINGS Half of the patients were seen at a university hospital and the other half at a private practice. PATIENTS A sel...

BACKGROUND Underprojection and lack of tip definition often coexist. Techniques that improve both nasal tip refinement and projection are closely interrelated, and an algorithmic approach can be developed to improve the predictability of the dynamic changes that occur. Use of nondestructive and nonpalpable techniques that enhance nasal tip shape are emphasized. METHODS A retrospective review ...

IMPORTANCE Many techniques to increase nasal tip projection and rotation have been described. Some patients complain about aesthetic loss during the postoperative period. The lateral crural steal technique has been used to improve nasal tip rotation, definition, and projection. OBJECTIVE To evaluate the lateral crural steal technique comparing immediate and late postoperative results. DESIG...

BACKGROUND Rhinoplasty is one of the most challenging esthetic surgeries. The ability to achieve precise and predictable changes in the shape and position of the nasal tip is still among one of the demanding areas of rhinoplasty. Columellar strut is one of many techniques to ensure an adequate nasal tip projection and rotation; however, there is little evidence to support long-term efficacy of ...

BACKGROUND The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision divides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertical...

BACKGROUND Nasal tip support is an essential consideration for rhinoplasty in East Asians. There are many techniques to improve tip projection, and among them, the columellar strut is the most popular technique. However, the conventional design is less supportive for rotating the tip. The amount of harvestable septal cartilage is relatively small in East Asians. For an optimal outcome, we propo...