scholarly journals The T- Graft to Control Nasal Length and Nasal Tip Position

2021 ◽  
Author(s):  
Dirk Jan Menger
Keyword(s):  
Soft Tissue ◽  
Nasal Septum ◽  
Anatomical Features ◽  
Soft Tissue Envelope ◽  
Short Nose ◽  
Nasal Tip ◽  
Tip Projection ◽  
Nasal Tip Projection ◽  
Tip Position ◽  
Nasal Length

The T-graft is a new tool in the armament of structural rhinoplasty. The graft makes it easy to create a well- balanced nasal framework both for beginners and more experienced rhinoplastic surgeons. Due to its multifunctional character the T-graft allows the surgeon to control nasal length as well as nasal tip projection and -rotation. The T-graft is indicated in many anatomical features like in patients with a short nose or heavy soft tissue envelope, but also in patients with under projection of the nasal tip, under- or over-rotation of the nasal tip and deviations of the caudal nasal septum.

Correction of the Overprojected Nasal Tip

1994 ◽  
Vol 11 (3) ◽  
pp. 195-202
Author(s):  
Andrew P. Ordon
Keyword(s):  
Soft Tissue ◽  
Nasal Septum ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Nasal Tip ◽  
Tip Projection ◽  
Medial Crura ◽  
Final Adjustment ◽  
Moderate Case

Our approach to decrease tip projection is presented. These techniques may be applied to the three degrees of overprojection, namely the relative, moderate, and ultraprojecting tip. We feel that our techniques will apply to all clinical situations where decrease in projection is desirable. Our concepts have emerged from review of previous techniques and have evolved over our past 1000 rhinoplasties. Excess nasal septum including the nasal spine area, redundancy in the feet of the medial crura, and soft tissue excess may all contribute to the overprojecting tip. However it is excess in the lower lateral cartilage complex, specifically in the medial crus, that requires the most surgical attention and alteration. Our technique in reducing the medial crus to decrease projection is patterned after the Universal Tip Technique described by Parkes and Kanodia. This endonasal technique utilizes a laterally based unipedicled lower lateral cartilage flap, which is freely rotational, but does not violate the continuity of the vestibular skin. With development of our laterally based unipedicle lower lateral cartilage flap, the number of millimeters desired to reduce the projection is removed from the medial crus and eliminated in the final adjustment of tip projection and, in this way, decreases tip projection. In the moderate case, approximately 3 mm of medial crus is excised. In the more severe or ultraprojecting tip, ≥5 is removed from the medial crus. In extreme overprojecting noses, excess soft tissue is addressed by excision of an ellipse of mucosa at the intercartilaginous incision at the septal angle. In the ultraprojecting tip, in addition to resection of redundant cephalic lower lateral cartilage and a ≥5-mm segment of medial crus, it may be necessary to also resect the lateralmost extension of the lower lateral cartilage, the feet of the medial crura, and alar bases. Septal modification, including an inferior strip resection of septum including the nasal spine, may also contribute to decreasing projection. We have found this technique to be effective and predictable over the last 10 years.

The Contoured Auricular Projection Graft for Nasal Tip Projection

1999 ◽  
Vol 1 (4) ◽  
pp. 312-315 ◽  
Author(s):  
Jennifer Parker Porter ◽  
M. Eugene Tardy ◽  
Jacqueline Cheng
Keyword(s):  
Nasal Tip ◽  
Tip Projection ◽  
Nasal Tip Projection

Open rhinoplasty using a columellar strut: effects of the graft on nasal tip projection and rotation

2020 ◽  
Vol 277 (5) ◽  
pp. 1371-1377 ◽  
Author(s):  
S. Bucher ◽  
S. Kunz ◽  
M. Deggeller ◽  
D. Holzmann ◽  
M. B. Soyka
Keyword(s):  
Open Rhinoplasty ◽  
Nasal Tip ◽  
Tip Projection ◽  
Columellar Strut ◽  
Nasal Tip Projection

Premaxillary Injection for Perioral Rejuvenation and Lip Enhancement

2019 ◽  
Vol 40 (5) ◽  
pp. 560-567 ◽  
Author(s):  
Thuy-Van T Ho ◽  
Eric W Cerrati ◽  
Nimit D Gandhi ◽  
Arjun Kalbag ◽  
Steven H Dayan
Keyword(s):  
Hyaluronic Acid ◽  
Statistical Significance ◽  
Primary Objective ◽  
Upper Lip ◽  
Height Ratio ◽  
Level Of Evidence ◽  
Filler Injection ◽  
Nasal Tip ◽  
Tip Projection ◽  
Nasal Tip Projection

Abstract Background This is the first study to evaluate the effect of premaxillary filler injection on nasal tip projection, upper lip projection, and upper lip vermilion height. Objectives The primary objective of this study was to analyze the change in nasal tip projection (measured by the Goode ratio) and the change in upper lip projection (measured by the Z angle) following premaxillary hyaluronic acid injection. A secondary objective was to measure the change in upper lip vermilion height. We hypothesized that treated subjects will show an increase in nasal tip projection, upper lip projection, and upper lip vermilion height. Methods Twenty volunteer patients with signs of perioral aging or poor upper lip projection were enrolled in this prospective cohort study and underwent premaxillary hyaluronic acid filler injection between November 2017 and June 2018. Nasal tip projection, upper lip projection, and upper lip vermilion height were assessed from baseline and posttreatment photographs based on the Goode ratio, Z angle, and lip vermilion height ratio, respectively. Results No significant change was noted between pre- and posttreatment Goode ratio measurements (P = 0.841). There was a significant decrease in Z angle and therefore significant increase in upper lip projection with treatment (P < 0.001). The lip vermilion height ratio demonstrated a trend of increased upper lip vermilion height but this did not achieve statistical significance (P = 0.561). Conclusions Premaxillary filler treatment resulted in a significant increase in upper lip projection. Premaxillary filler injection when performed in a safe manner is a valuable treatment option for perioral rejuvenation. Level of Evidence: 4

scholarly journals QUANTITATIVE ANALYSIS OF NASAL TIP PROJECTION

1988 ◽  
Vol 98 (2) ◽  
pp. 202???208 ◽  
Author(s):  
ROGER L. CRUMLEY ◽  
MICHAEL LANSER
Keyword(s):  
Quantitative Analysis ◽  
Nasal Tip ◽  
Tip Projection ◽  
Nasal Tip Projection
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