Supratip-plasty: a completely cartilaginous tip complex to maintain nasal tip width

Aesthetic Surgery Journal
Ronald P GruberKyle A Belek

Abstract

Following primary rhinoplasty, the nasal tip may become wider on front view, possibly due to splaying of the lateral crura. 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. 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. 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. Preserving a cephalic island of lateral crus, trimming it to fit the new supratip contour following suture tip-plasty, and securing it to th...Continue Reading

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Citations

Sep 22, 2016·Aesthetic Surgery Journal·Arash Momeni, Ronald P Gruber
Feb 3, 2018·Aesthetic Surgery Journal·Ronald P GruberJeff Chang
Feb 27, 2019·The Journal of Craniofacial Surgery·Saeid AtighechiSedighe Vaziribozorg
Apr 16, 2021·Aesthetic Surgery Journal·M Mazhar CelikoyarOguzhan Topsakal

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