Positioning the Nasal Tip in Rhinoplasty | Journal CME Article-Journal CME Article: Positioning the Nasal Tip in Rhinoplasty (Video 1 of 2)

Journal CME Article: Positioning the Nasal Tip in Rhinoplasty (Video 1 of 2)

Video Transcription

Video Summary

The patient underwent a previous rhinoplasty with a tongue and groove technique that overly rotated and foreshortened her nasal tip. To correct this, the surgeon placed bilateral extended spreader grafts made from cartilage, extending about five millimeters along the native septum. These grafts, sutured to a columellar strut graft, work to elongate and derotate the nasal tip, effectively fixing the foreshortened nose. The reconstruction is structurally solid and aims to restore a more natural nasal shape after the prior surgery's complications.

Keywords

rhinoplasty

tongue and groove technique

extended spreader grafts

nasal tip derotation

columellar strut graft