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
GOLDMAN IB. NEW TECHNIQUE FOR CORRECTIVE SURGERY OF NASAL TIP. AMA Arch Otolaryngol. 1953;58(2):183–187. doi:10.1001/archotol.1953.00710040202010
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: