‘Universal Retraction Suture’ for the Overprojecting Nasal Tip

Achieving a proper nasal tip projection is a crucial element of a successful rhinoplasty. A large number of correction methods and manoeuvres have been proposed in the medical literature as solutions for the prominent nasal tip, thus complicating the surgeon's strife to choose the ideal plan of action. In the present article, a single straight-forward technique, christened the ‘universal retraction suture’, is suggested to tackle the overprojecting tip in a simplified, controlled and efficient fashion.

[1]  H. Foda Alar setback technique: a controlled method of nasal tip deprojection. , 2001, Archives of otolaryngology--head & neck surgery.

[2]  E. M. Lipsett A new approach surgery of the lower cartilaginous vault. , 1959, A.M.A. archives of otolaryngology.

[3]  E. McCollough,et al.  Systematic approach to correction of the nasal tip in rhinoplasty. , 1981, Archives of otolaryngology.

[4]  A. Logan,et al.  Management of the Overprojecting Nasal Tip: A Review , 2000, Aesthetic Plastic Surgery.

[5]  R. Kridel,et al.  Dome Truncation for Management of the Overprojected Nasal Tip , 1990, Annals of plastic surgery.

[6]  P. Soliemanzadeh,et al.  Nasal tip overprojection: algorithm of surgical deprojection techniques and introduction of medial crural overlay. , 2005, Archives of facial plastic surgery.

[7]  Rod J. Rohrich,et al.  Tip Shaping in Primary Rhinoplasty: An Algorithmic Approach , 2008, Plastic and reconstructive surgery.

[8]  M. Tardy,et al.  The Overprojecting Nose: Anatomic Component Analysis and Repair , 1993, Facial plastic surgery : FPS.

[9]  R. Crumley,et al.  Quantitative analysis of nasal tip projection , 1988, The Laryngoscope.

[10]  B. Guyuron,et al.  Components of the Short Nostril , 2005, Plastic and reconstructive surgery.

[11]  K. Conrad Nasal tip reduction - predictable part of rhinoplasty. , 1981, The Journal of Otolaryngology.

[12]  P. Solomon,et al.  Transfixion Incision As An Initial Technique in Nasal Tip Deprojection , 2008, The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique.

[13]  E. Kern,et al.  The Universal Tip: A Systematic Approach to Aesthetic Problems of the Lower Lateral Cartilages , 1988, Plastic and Reconstructive Surgery.

[14]  K. Ingels,et al.  Measurement of preoperative and postoperative nasal tip projection and rotation. , 2006, Archives of facial plastic surgery.