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Brief Communication
July 2002

Modified Vertical Dome Division Without Delivery of the Lateral Crus

Author Affiliations

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Facial Plast Surg. 2002;4(3):198-199. doi:

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.