Nasal tip deprojection

This patient underwent tip refinement, tip elevation, Nasal Tip Deprojection, and dorsal hump reduction for a natural look to the nose that does not droop when smiling VIEW NOW

Elevation of the drooping tip

Treating the drooping nasal tip can be performed with nasal tip deprojection and placing a columellar strut graft to adequately support the nasal tip VIEW NOW

Tip derotation

Tip derotation can be accomplished by using extended spreader grafts to derotate the entire tip complex VIEW NOW

Revision rhinoplasty: tip debulking

When performing a Revision Rhinoplasty on a patient with a bulbous tip, there are numerous strategies that can be used to debulk and refine the tip VIEW NOW

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Tip support: columellar strut vs septal extension graft

There are two main strategies to support the tip including columellar strut graft and septal extension graft. I generally perform tip deprojection with a columellar strut graft. VIEW NOW

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Finesse revision rhinoplasty: the tip defining point

Finesse revision Rhinoplasty inside the operating room to create a more appropriate tip defining point VIEW NOW

Revision rhinoplasty: tip defining point

This case illustrates the importance of creating an appropriate tip defining point in Revision Rhinoplasty VIEW NOW

Revision rhinoplasty: hanging columella

The hanging columella can be treated in revision Rhinoplasty with Nasal Tip Deprojection and placement of a strong columellar strut graft to add tip support VIEW NOW

Straightening the crooked nose

Straightening the crooked nose is one of the most challenging things to do in all of rhinoplasty. Making sure that you see many real examples of this in your surgeons before & after gallery. VIEW NOW

Treatment of nostril asymmetry

Treatment of extreme nostril asymmetry can involve tip derotation and placement of extended alar contour grafts to improve nostril symmetry VIEW NOW

Revision rhinoplasty: drooping tip

Revision Rhinoplasty with tip elevation, treatment of alar retraction, tip deprojection, and tip refinement. VIEW NOW

Treatment of the drooping nasal tip

Treatment of the drooping Nasal Tip with poor tip support includes tip elevation and tip deprojection with anchoring to a robust columellar strut graft VIEW NOW

Revision rhinoplasty: over exposed nostrils

Treatment of the foreshortened overrotated nose with over exposed nostrils in Revision Rhinoplasty involves complete release of all the scar tissue and placement of extended spreader grafts to derotate the tip complex. VIEW NOW

Dangers of implants in the nose

Foreign body implants including silicone, gortex, medpor, and hardware are extremely dangerous in rhinoplasty due to the increased risk of infection, extrusion, malposition, and displeasing aesthetic results. VIEW NOW

Dangers of silicone implant in revision rhinoplasty

Silicone implants have an extremely high rate of complications in rhinoplasty including extraction, infection, malposition, and displeasing aesthetic results. VIEW NOW