wasperformed FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Rhinoplasty tutorial >> Tip narrowing >> page 5
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Now we should have more of a discussion about what narrowing the tip cartilages can do for the appearance of the nose.  The two pictures above, and the two pictures below, show a nose before and after a rhinoplasty during which the tip cartilages were narrowed.  In the pictures below I have outlined the profile.  The smooth line of the profile is determined by the position of the nasal bones and the upper lateral cartilages underneath the thin skin.

If the tip cartilages are particularly wide, the profile line takes an abrupt jump outward as the skin drapes over those wide, bulging cartilages, disrupting the smooth contour of the profile, and drawing attention to the area where those tip cartilages reside.  The black arrow below shows where the profile line stops being straight, jumping away from the face to follow the wide tip cartilages.


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In the "after" pictures on the right, the tip cartilages have been narrowed, and the profile line is more pleasing, continuing uninterrupted along the bridge to the tip of the nose.

The position where the profile line angles out to follow the lower lateral cartilages (at the black arrow) is called the "tip break point," because at that location the profile "breaks away" from the smooth line along the dorsum to follow the tip cartilages.  A tip break can be a very attractive feature, but usually not when it is as abrupt as on this patient's before pictures.



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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg