[Skip to Content]
[Skip to Content Landing]
Article
August 1953

NEW TECHNIQUE FOR CORRECTIVE SURGERY OF NASAL TIP

Author Affiliations

NEW YORK
From the Division of Rhinoplasty of the Otolaryngological Service, Mount Sinai Hospital, and the Rhinoplasty Service, Beekman Downtown Hospital.

AMA Arch Otolaryngol. 1953;58(2):183-187. doi:10.1001/archotol.1953.00710040202010
Abstract

IN RHINOPLASTY the correction of the nasal tip has challenged the surgical skill and esthetic sense of surgeons. It is, in effect, axiomatic that "the tip makes the nose." It can also be said that most of the imperfections in a rhinoplasty are readily discernible in the reconstructed tip.

One may ask: "What are the surgical and esthetic errors and mistakes in failures to approximate the perfect nasal tip ? The "pinched-in" surgical tip is not only esthetically inadequate but also, as a rule, functionally imperfect. The sacrifice of cartilage or vestibular skin or mucosa, with healing followed by contracture-induced synechiae between the lateral crus and septum or columella and, in some cases, between the lateral nasal wall, septum, and mesial crura, often gives a bizarre effect. The production of alar clefts, alar collapse, vestibular stenosis or artesia, dimples and dents in the alae, web-like cicatrices in the vestibule, and scar

×