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PubMed1983

Tip suspension suture for superior tip rotation in rhinoplasty.

Superior tip rotation is sometimes necessary to relieve functional obstruction as well as improve the esthetic appearance in the aging nose and the thick skinned heavy tip nose. Conventional techniques including thinning resection, rim strip, lateral crural flap and even external skin excisions are often inadequate to obtain and maintain sufficient superior tip rotation. A technique is described to permanently suture the lower lateral crus to the upper lateral cartilages and to the cartilaginous septum. Long-term follow-up supports this technique's cosmetic and functional effectiveness.

Humans↗
PubMed1986

Secondary rhinoplasty of the nasal tip and columella. The choice of cartilage grafts.

Aesthetic improvement of the nasal tip requires both surgical skill and artistic judgement, and is the area where post-surgical stigma may most frequently be apparent. Important aesthetic guidelines are described, and techniques which the author considers unsatisfactory are listed. A simple basic technique is recommended for routine procedures, which may then be varied according to special needs. Preferred methods of raising the tip, augmentation of the tip and correction of secondary deformities are outlined. The aim throughout is to employ those techniques which create a natural appearance, both visual and tactile.

Cartilage↗
PubMed1988

"The open sky rhinoplasty" for correction of secondary cleft lip nose deformity, Technique and recent results.

The typical nose deformity after cleft-lip repair still represents great challenge for the plastic surgeon in this field. Many methods have been designed in attempts to correct the deformity, either during primary closure of the lip or as a secondary procedure when growth of the nose is complete. In this paper the author's own technique of secondary rhinoseptoplasty in cleft-lip patients is presented. The different cartilaginous and osseous structures are approached through a transcolumellar incision and the skin of the nose completely reflected upwards. This so-called "open sky view" gives a total perspective on the entire pathology of the cleft-lip nose deformity and makes it possible to correct it accordingly. Emphasis is put on some important surgical manoeuvers. Recent results are presented and the pros and cons of this procedure discussed.

Adult↗