Journal
AESTHETIC PLASTIC SURGERY
Volume 32, Issue 5, Pages 772-778Publisher
SPRINGER
DOI: 10.1007/s00266-008-9211-1
Keywords
tip hypertrophy; rhinomegaly; overprojection; deprojection; sliding technique; tripod concept; lateral crural overlay technique; set back technique; overlapping technique
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Background This report aims to demonstrate the advantages of the sliding technique for reducing an overprojected tip. Methods In this study 271 patients (201 females, 70 males) were treated using this technique. It was used for isolated tip hypertrophy (N = 93) and combined deformities (N = 147). Results A medial sliding was performed in 109 patients, a lateral in 125 patients, and a combined lateral and medial sliding was used in 9 patients. Twenty patients needed additional skin resection at the columella. Follow-up of our first 80 patients showed an average reduction of around 11%. Only one patient of 80 in this study had to be revised. Conclusion The sliding technique is safe and reliable as well as a logical and effective technique to deproject the nasal tip.
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