When it comes to surgery for the wide and bulbous nasal tip, using a load-bearing wall constructed out of autologous cartilage can balance the tension within the existing tip complex to produce durable functional and aesthetic results, a rhinoplasty expert said during an invited presentation at the Triological Society Combined Sections Meeting.
Explore this issue:April 2019
Richard Davis, MD, clinical professor of facial plastic and reconstructive surgery at the University of Miami and Western Section Guest of Honor at the meeting, described the main feature of his approach, a septal extension graft (SEG), used as a “central support tower,” analogous to a suspension bridge with a tower in the middle and suspension cables extending from both sides. “If you use it as an adjunct to skeletal support, a SEG can provide an anatomic tent pole, if you will, from which to suspend the lower nasal side walls,” he said.
Bulbous nasal tips can bring about not just aesthetic problems, but also functional issues, since bulbous cupping of the tip cartilages also causes recurvature.| | | Next → | Single Page