Can rasping be done on the nasal tip to smooth the supratip?

Question

I am wondering if rasping is normally only done on the sides of the nose/the top of the bridge or if rasping is also able to be performed on the top of the tip for a patient to smooth the supratip?

Eric M. Joseph, MD · Answer

The lower 2/3 of your nose is all cartilage, so lowering your supratip area may be done with a scissor or blade, but not a rasp. Thanks! Dr Joseph

John Michael Thomassen, MD · Answer

The supratip is cartilage so usually direct excision of this is done to reduce fullness.  Rasping may be too traumatic for this fragile cartilaginous framework.

George Bitar, MD · Answer

As you noted, rasping can be performed on the nasal bridge to decrease the height of the bone.  The tip and supratip regions are all cartilage and cannot reduced with rasping.  The cartilage may have to be removed or augmented and then sutured to reshape the tip and supratip.

Ronald J. Edelson, MD · Answer

Cartilage does not file down very well. If there is a prominent supratip it is probably cartilage that needs to be sliced down with a scalpel

Anish Abrol, MD · Answer

Typically rasping is performed on the bony parts of the nose to help smooth the contour. For the nasal dorsum, it can have an effect of the dorsal cartilage, but considerable force can fracture the cartilage. The nasal tip can be a delicate area and any rasping here can cause contour irregularities. To manage irregularities of the nasal tip or supratip, usually fascia or cartilage grafts can be placed to correct the deformity.

Ronald Espinoza, DO · Answer

From my experience, rasping of the nasal supratip will not be effective because this is cartilage. Only bone should be rasped.

William Portuese, MD · Answer

Rasping is only done high in the bridge line for a bony hump. The Majority of the dorsal Hump is cartilage which must be cut with a knife or scissors. Creation of the supratipIt Is done by removal of cartilage. It's also important to understand that removal of the hump itself creates an open roof, flat top nasal deformity, therefore osteotomies placed in the nasal bones are required to Close the open roof.

Can rasping be done on the nasal tip to smooth the supratip?

Answers (7)

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