Treating over projection of the tip
Nasal Tip Deprojection can be accomplished by excising 4 to 16mm of medial crural footplates and anchoring this to a robust a Columellar strut graft. VIEW NOW
Preventing tip droop when smiling
The key to preventing tip droop when smiling is adequate tip support. This can be performed using a Columellar strut graft. VIEW NOW
Revision rhinoplasty to treat bulbous and drooping tip
Revision Rhinoplasty with tip refinement, tip debulking, tip, elevation, and tip deprojection to result in a smaller nose. VIEW NOW
Drooping tip in rhinoplasty
This patient had a dorsal hump, drooping tip and an overprojected tip. She underwent tip refinement, tip elevation, tip deprojection, and dorsal hump reduction. VIEW NOW
Treatment of the hanging columella in revision rhinoplasty
Treating the hanging columella was accomplished with Nasal Tip Deprojection and strengthening the columella with a robust columellar strut graft in this revision Rhinoplasty VIEW NOW
Treatment of the drooping tip
This patient had a drooping tip with an over projected tip. She underwent tip elevation and Nasal Tip Deprojection with tip refinement. VIEW NOW
Complex revision rhinoplasty (GRAPHIC)
This nice patient underwent extreme complex revision Rhinoplasty with total nasal reconstruction to reconstruct the cartilaginous support of her nose and the soft tissue of her tip VIEW NOW
Dangers of implants in revision rhinoplasty
Implants, including silicone, Gore-Tex, Medpor, and hardware should never be used in Rhinoplasty. They have extremely high complication rates including extrusion, infection, malposition, and displeasing aesthetic results. VIEW NOW
Treating the over projected and over rotated tip
This patient underwent Nasal Tip Deprojection and tip derotation. In order to accomplish tip derotation extended spreader grafts were performed. VIEW NOW
Treatment of the drooping tip
Elevation of a drooping tip can be accomplished with a Nasal Tip Deprojection and placement of a strong columellar strut graft VIEW NOW
Correction of drooping tip and over projected tip
Tip elevation and tip deprojection can be performed to have a very natural result in Rhinoplasty. These two maneuvers also help stabilize the elongated tip. VIEW NOW
Tip deprojection in revision rhinoplasty
Tip deprojection can be performed in Revision Rhinoplasty to help stabilize the tip and shorten the overall length of the tip complex and the nostrils for a more natural looking appearance of the nose VIEW NOW
Finesse rhinoplasty for tip refinement
Finesse techniques can be used in revision rhinoplasty to refine the tip. In this patient, it was very important to lower the tip defining point to a more appropriate level. VIEW NOW
Male rhinoplasty
The most important aspect of male rhinoplasty is to keep the nose natural looking and not over rotate the tip or over resect the dorsum VIEW NOW
Revision rhinoplasty to treat the drooping tip
Revision Rhinoplasty can be performed to treat a drooping tip. The maneuvers I most frequently perform are nasal tip deprojection and stabilizing the entire tip complex with a strong in Columellar strut graft to prevent drooping. VIEW NOW