Case 2


Case 2

[Silver\, William E. and Weiss\, Sean R.]

Major Deformity

Over-projected tip

Minor Deformity

Small dorsal hump


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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Jul 7, 2020 | Posted by in OTOLARYNGOLOGY | Comments Off on Case 2

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