Supratip-Plasty: A Completely Cartilaginous Tip Complex to Maintain Nasal Tip Width. (January 2014)
- Record Type:
- Journal Article
- Title:
- Supratip-Plasty: A Completely Cartilaginous Tip Complex to Maintain Nasal Tip Width. (January 2014)
- Main Title:
- Supratip-Plasty
- Authors:
- Gruber, Ronald P.
Kwon, Edwin
Berger, Aaron
Belek, Kyle A. - Abstract:
- Background: Following primary rhinoplasty, the nasal tip may become wider on front view, possibly due to splaying of the lateral crura. Objectives: The authors describe a technique, the "supratip-plasty, " to create an all-cartilaginous supratip that resists splaying and postoperative broadening of the nasal tip complex. Methods: Thirteen consecutive primary rhinoplasty patients (10 women; 3 men) with broad nasal tips received a supratip-plasty (which preserved the cephalic part of the lateral crus, reducing it in size and securing it to the dorsal septum, resulting in a completely cartilaginous tip framework) and were followed for 11 to 17 months. Since the frontal tip width (TW) is relative to the frontal nasal base width (NBW), the TW/NBW ratio was contrasted to that of 19 unoperated aesthetically pleasing nasal tips. Results: Of the 13 cases, all but 1 were considered to have a good result. The preoperative mean TW/NBW ratio was 0.68. The postoperative mean was 0.53, compared with 0.48 in the unoperated aesthetic tip group. No tip revisions were necessary; however, 2 patients did require revisionary surgery for nontip problems. Conclusions: Preserving a cephalic island of lateral crus, trimming it to fit the new supratip contour following suture tip-plasty, and securing it to the septum provides a completely cartilaginous nasal tip framework that tends not to widen postoperatively. Level of Evidence: 4
- Is Part Of:
- Aesthetic surgery journal. Volume 34:Number 1(2014:Jan.)
- Journal:
- Aesthetic surgery journal
- Issue:
- Volume 34:Number 1(2014:Jan.)
- Issue Display:
- Volume 34, Issue 1 (2014)
- Year:
- 2014
- Volume:
- 34
- Issue:
- 1
- Issue Sort Value:
- 2014-0034-0001-0000
- Page Start:
- 34
- Page End:
- 44
- Publication Date:
- 2014-01
- Subjects:
- tip-plasty -- nasal tip -- lateral crus -- supratip deformity -- rhinoplasty
Surgery, Plastic -- Periodicals
617.95 - Journal URLs:
- http://asj.oxfordjournals.org/content/ ↗
http://aes.sagepub.com/content/by/year ↗
http://www.mosby.com/aesthetic ↗
http://online.sagepub.com/ ↗
http://www.sciencedirect.com/science/journal/1090820X ↗ - DOI:
- 10.1177/1090820X13515269 ↗
- Languages:
- English
- ISSNs:
- 1090-820X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 0730.384000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 5434.xml