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Jeddah 21523, Kingdom of Saudi Arabia
THE GOLDMAN tip is a well-established procedure in the rhinoplasty literature.
A variation of this technique has proved useful in more than 120 cases. This
procedure, as described below, is a vertical dome division with a strut and
without lateral crus delivery. By avoiding the marginal incision and keeping
the rim intact, potential problems such as notching, dimpling, retraction,
or asymmetries are avoided. Some indications for the technique include (1)
tip underprojection; (2) short columella; (3) mild-tip bulbousity; (4) revision
case, when lateral crus delivery may be technically difficult; and (5) congenital
preexisting mild alar pinching and dimpling. In these situations, alar delivery
will cause more deformity.
Bizrah MB. Modified Vertical Dome Division Without Delivery of the Lateral Crus. Arch Facial Plast Surg. 2002;4(3):198-199. doi: