This 20-year-old woman desired aesthetic improvement of her nose (Fig. 2.1A–H).
Fig. 2.1 (A–D) Preoperative photos of patient.
Analysis of Preoperative Photos
Over-projected nasal tip with a slight dorsal hump
Interval from Surgery to Postoperative Photos
1 year
Fig. 2.1 (E–H) Postoperative photos of patient.
Analysis of Postoperative Photos
Nasal projection is reduced and the slight dorsal hump is reduced.
Contributor’s Note
Medial Crural Tuck-Up Technique
The medial crural tuck-up procedure, which is described below, cuts across a predetermined length of the medial crus that is then tucked up under the dome to reduce projection of the tip. The amount of decrease is determined using preoperative photographs. Keeping in mind the tripod theory of tip position, one must decrease the length of the lower lateral cartilage (LLC) the same amount to maintain the nasolabial angle and width of the nasal base.
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