- Incisions
- Hump removal
- Nasal septum
- Tip narrowing
- The nasal bones
- Splint
- Tip support
- Shorten the nose
- The nasal spine
- Revision surgery
- The nasion
- Odd cartilages
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Rhinoplasty tutorial >> Tip support >> page 6
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This nose has no tip
support at all. The lower lateral cartilage (in green) is weak and
flaccid-appearing. Nowhere along its length does that tip cartilage
project beyond the line of the nasal dorsal cartilage (in red). The surgeon needs to
create some tip support for this nose during surgery. We will discuss some
of the techniques for accomplishing that later in this chapter.
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Even if a nose is being
brought back closer to the face, or if a hump is being taken down, it is
important to maintain a good relationship between the line of the dorsum and the
projection and strength of the tip cartilages.
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This is another nose
with a total absence of tip support. The most projecting cartilaginous
structure that we see is the cartilage of the nasal septum (red in the diagram). The
green lower lateral cartilage is weak and malpositioned. the skin will not
drape over that tip cartilage if we quit the operation now; rather, it will only
hang on the sharp end of the septum.
The nasal septum is not the tip, so it doesn't count for tip support, it doesn't provide tip projection, and it doesn't create a tip defining point. The septum only sets the line of the dorsal profile. It is up to the lower lateral cartilages, the tip cartilages, to provide tip support for the nose. |
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