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Special Topics
January 2006

The M-Arch ModelA New Concept of Nasal Tip Dynamics

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Toronto, Toronto, Ontario.

Correspondence: Peter A. Adamson, MD, FRCSC, Renaissance Plaza, Suite M110, 150 Bloor St W, Toronto, Ontario, Canada M5S 2X9 (paa@dradamson.com).

Arch Facial Plast Surg. 2006;8(1):16-25. doi:10.1001/archfaci.8.1.16

The M-Arch Model introduced herein expands on the utility and simplicity of the tripod concept to consider the overall length of the cartilaginous tripod arch as the major determinant of nasal tip parameters. Surgeons may exploit this powerful tool using modern grafting, suture, and cartilage-cutting techniques to predictably achieve desired tip alterations and, by extension, more consistently satisfactory aesthetic outcomes.