title: Symposium: the supra-tip in rhinoplasty: a dilemma. II. Influence of surrounding structure and prevention.
abstract: One of the most annoying complications of rhinoplasty is the supra-tip hump (pollybeak). Possible causes are failure to surgically compensate for: 1. The increased skin thickness above the tip. 2. Supra-tip keloid tendency. 3. Overactive depressor septi muscles. 4. Loss of natural tip support by the upper lateral cartilages and septum.
mesh_terms: D006801:Humans; D007627:Keloid; D009300:Nasal Septum / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000517:prevention & control*