What you need to know about nose tip

The goals of nasal tip surgery are to obtain a satisfactory projection, by reduction or augmentation, after treating the cartilage or by applying grafts. The shape of the alar cartilages could also be modified by means of their partial resection, suturing them or making incisions on them.

Elevation and suspension of the tip of the nose

Nasal tip elevation

If the nose is very long, the columella should be shortened from the nasal spine to the septal angle. If the length of the nose is acceptable, but the tip descends with the smile, it is advisable to raise the external third of the colmuela or apply the concepts of rhinoplasty. If the nasal spine is very prominent, it can be reduced with a rasp or with the help of a gouge, but care must be taken not to overdry it, as this would produce a recess in the nasolabial angle.

Suspension of the tip of the nose

What does it consist of:

In taking off the nasal dorsum and detaching the depressor muscle from the tip of the nose and we start the suspension by means of threads, these are introduced through the nasal tip fixed to the perichondrium and the subdermal tissue of the lateral part of the own bones in a pass back and forth, anchoring them in the periosteum of the nasal bone, pulling the thread through the anterior entry hole, in which it is tied and the tip of the nose rotates everything that the patient needs, being of vital importance that the doctor with his experience not leave the nose so projected so that it has a most natural appearance.

The excess thread is cut, the fixings are made by means of micropore as in a rhinoplasty and it is left for a period of five days, there are no bruises or swelling since no tissue has been resected, in addition as only soft parts are touched. pain level is almost equal to zero.

This type of operation greatly reduces the costs of a normal rhinoplasty, with excellent results in a few minutes under local anesthesia.

Another great advantage is that if the patient is unhappy, something that has never happened before, it is so easy to remove the thread that it takes even less time than the operation itself.

In some cases, it is important to tell the patient that they can combine it with a chin suspension in which the same nasal tip suspension technique is used to project the chin and thus make the procedure look better.

The ideal patients for this type of surgery are those with a drooping nasal tip with little or no bony hump and those with a receding chin.

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