Authors: Pellarin, Leandro; Santos Bosaipo, Carolina; Magalhães Suguri, Vinicius; Lobato Gregório, Luciano; Gregório, Luís Carlos.
ABSTRACT
The design of the nasal tip represents an important step of rhinoplasty surgery. It requires full knowledge of the anatomy, mechanisms involved in the support of the tip, and consequences of modification of the cartilages.
To reduce nasal tip fullness or decrease the distance between the tip-defining points, procedures such as partial resections, weakening of the lateral crura, or reshaping the lateral crura with sutures can be performed. However, these techniques can alter the nasal valve area and/or increase resistance to airflow, especially suture techniques, by narrowing the nasal tip structures.
The nasal valve, both external and internal components, is of fundamental importance once it represents the narrower cross-sectional area of the nasal cavity, with the greatest overall resistance to airflow.
Therefore, it is crucial to recognize the possible outcomes of techniques applied during nasal tip surgery and the delayed effects of sutures and resections, regarding the breathing function of the nose.
We describe a method of tip refinement that avoids nasal valve impairment that can occur during rhinoplasty.