Ever since Sushruta laid the foundations of rhinoplasty for the first time in ancient India, a lot of thought and effort has gone into developing the techniques that we know today. Tip plasty is an essential and indispensable part of rhinoplasty. It is important to realise that every nose is different and the attention to fine details is important and defines a good rhinoplasty surgeon. Every r...

In this paper we investigate the interaction between the accelerator muscle (the muscle that powers tongue projection) and the entoglossal process (the tongue's skeletal support) that occurs during tongue projection in chamaeleonid lizards. Previous work has shown that there is a delay of about 185 ms between the onset of accelerator muscle activity and the onset of tongue projection. In conjun...

BACKGROUND Tip-plasty is a particularly challenging stage of aesthetic nose surgery. The diversity of nasal tip deformities has necessitated the development of numerous surgical techniques that can be difficult to master and may yield unpredictable surgical results when combined. OBJECTIVES The authors describe how concomitant overlap steal tip-plasty (COST) can enable surgeons to address all...

Aesthetic rhinoplasty procedures have increased in frequency in the Asian population. Although aesthetic concepts differ for each race, the current concept of nasal beauty shows a tendency to coincide with that of Caucasians. The ideal, beautiful nose tends to have a straight dorsum from the radix to the tip, with an adequate height. The tip should be slightly more prominent than the dorsum, an...

Achieving a proper nasal tip projection is a crucial element of a successful rhinoplasty. A large number of correction methods and manoeuvres have been proposed in the medical literature as solutions for the prominent nasal tip, thus complicating the surgeon's strife to choose the ideal plan of action. In the present article, a single straight-forward technique, christened the 'universal retrac...

KEywoRDs rhinoplasty, surgery, dermal fillers, hyaluronic acid, botulinum toxin, aesthetic dynamic anatomical structures that the facial plastic surgeon has to understand for a precise correction and a successful outcome. The skin and its thickness also play a role in the shape of the tip and its contours. The nasal tip must be analysed both as part of the nose and as an individual anatomical s...

IMPORTANCE Successful surgical correction of nasal tip position requires preoperative analysis. Perceived adequate nasal tip position depends on its relationship with other facial features. Nasal tip position can be affected by the subnasal contour, proportion of facial height, and relative facial size and shape. The relation of these factors to the nasolabial angle may not be as important as p...

INTRODUCTION In rhinoplasty, facial esthetic analysis is critical for proper surgical planning. Parameters such as rotation and nasal projection should be routinely evaluated. Few studies have objectively assessed changes in facial angles postoperatively. OBJECTIVE To evaluate the effectiveness of medial intercrural sutures and of rotation of the nasal tip on the increase of rotation and nasa...

Exposure to mating pheromone in haploid Saccharomyces cerevisiae cells results in the arrest of the cell cycle, expression of mating-specific genes, and polarized growth toward the mating partner. Proteins involved in signaling, polarization, cell adhesion, and fusion are localized to the tip of the mating cell (shmoo) where fusion will eventually occur. The mechanisms ensuring the correct targ...

The pathology of "nasal tip complex" remains as a problem to be solved in unilateral cleft lip nose deformity wherein open rhinoplasty and cartilage grafts are used frequently. For this reason, the research for the treatment of cleft-side tip projection lost and ala depression still continues. Our technique is to put the cartilage graft at posterior dome area after the release of cleft-side ala...