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Surgical Technique
March 2005

Diagnosis and Surgical Management of the Caudal Excess Nasal Deformity

Author Affiliations

Author Affiliation: Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Miami School of Medicine, Miami, Fla.

Correspondence: Richard E. Davis, MD, Division of Facial Plastic and Reconstructive Surgery, University of Miami Hospital and Clinics, Room 4035 (D-1), 1475 NW 12th Ave, Miami, FL 33136 (rdavis@med.miami.edu).

Arch Facial Plast Surg. 2005;7(2):124-134. doi:10.1001/archfaci.7.2.124

Surgical correction of the overgrown columella-labial junction remains a controversial and neglected aspect of cosmetic rhinoplasty. Failure to reduce an obtuse nasolabial angle resulting from overgrowth of the septum and/or nasal spine may adversely affect the otherwise satisfactory cosmetic result. I review the historical considerations regarding caudal overgrowth and discuss its relevance to contemporary rhinoplasty. Case studies are presented to illustrate surgical treatment options for various overgrowth deformities.