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[AIMS AND BACKGROUNDS] The dynamics of nasal tip aesthetics and function is a complex balance of inherent cartilage structure and surrounding soft tissue characteristics. A thorough understanding of form and function is paramount in achievi…

[PURPOSE] Alar cartilage anatomy varies significantly across ethnic groups, and understanding these differences is crucial in nasal tip surgery. The aim of this descriptive study was to evaluate the anthropometric properties of the alar car…

Nonsurgical rhinoplasty with hyaluronic acid (HA) is minimally invasive but may result in severe vascular complications such as ischemia and necrosis. This case report describes a 30-year-old female patient who developed ischemia and early …

[BACKGROUND] Rhinoplasty and particularly tip refinement, is complex and prone to revision, especially in thin-skinned patients. To address these issues, the senior author developed a fascia-cartilage hybrid tip graft (FCHTG) combining crus…

[INTRODUCTION] The two main features that are important in defining the attractiveness of the nose include the projection and rotation of the tip of the nose. Among many techniques, Strat and SEG are much more efficient. The purpose of this…

[BACKGROUND] Dorsal preservation techniques balance hump reduction with mid-vault support. Foundation techniques (impaction) lower the dorsal hump without reshaping it, whereas surface modulation can compromise vault support. We propose an …

[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Understand the embryologic and anatomical basis of the nose in a unilateral cleft lip. 2. Identify key challenges in achieving nasal symmetry and balan…

Nasal tip stability is a key determinant of long-term rhinoplasty outcomes, yet the role of scroll reconstruction in supporting this stability remains insufficiently studied. This study investigated the impact of scroll reconstruction on na…

[BACKGROUND] This study aimed to evaluate the effects of the flexible tongue-in-groove (TIG) technique on nasal tip stability in patients undergoing columellar strut graft (CSG) placement. Nasal tip rotation and projection changes were comp…

[BACKGROUND] Septal extension grafts (SEGs) play a critical role in rhinoplasty by enhancing nasal tip projection, stability, and rotation. Despite their widespread use, no comprehensive systematic review has evaluated their overall effecti…

[OBJECTIVE] The rotation and projection of the nasal tip are fundamental factors in determining surgical success. The tongue-in-groove (TIG) technique is performed by securing the medial crura to the septum to control nasal tip rotation and…

[BACKGROUND] Closed rhinoplasty had initially been relegated to a reductive procedure that did not provide access to place structural sutures for tip support. Despite the influence of closed rhinoplasty advocates Sheen, Constantian, Guerrer…

[OBJECTIVE] The aim of this study is to compare the radiological measurements of patients who underwent rhinoplasty using a piezo device with those of patients who underwent rhinoplasty using a classical osteotome. [METHODS] A total of 60 …

[BACKGROUND] In dorsal preservation techniques of rhinoplasty, problems such as residual and recurrent hump and dorsal irregularities are encountered. In this study, we combined paramedian dorsal component excision with low septal strip sep…

The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the superficial orbicula…

Achieving optimal contour and projection of the nasal tip is one of the most challenging aspects of rhinoplasty. The skin-soft tissue envelope (STE) plays a pivotal role in determining the final outcome, as its thickness and elasticity sign…

In nasal tip surgery, achieving both functional and aesthetic results is crucial. Several complications, such as alar retraction or weakening of the internal nasal valve (INV), are associated with the "classical" cephalic trim. To prevent c…

[BACKGROUND] Nonsurgical rhinoplasty (NSR) is rapidly gaining popularity due to its convenience and lower complication risks. Polycaprolactone (PCL)-based collagen stimulator provides both immediate volumization and long-term neocollagenesi…

[OBJECTIVES] To evaluate the effectiveness of the Rhinoplasty Appliance System (RAS) in improving alveolar arch morphology and nasolabial morphology in infants with bilateral cleft lip and palate (BCLP) before primary lip repair. [MATERIAL…

The anterior nasal spine (ANS) anchors the septum and supports nasal tip projection; hypoplasia or absence of the ANS can disrupt nasal symmetry. In rhinoplasty, rigid fixation of the nasal framework to the facial skeleton is critical for l…