A successful 15-year experience in double-dome tip surgery via endonasal approach: nuances and pitfalls.
BACKGROUND
Endonasal double-dome techniques provide a reliable method to approach the nasal tip.


OBJECTIVE
To review one surgeon's 15-year experience using a graduated method of endonasal double-dome tip surgery including patient selection, intraoperative techniques, and postoperative complications and to emphasize the nuances to achieve symmetry and consistent results.


METHODS
Three hundred eighty-six patients who had adequate follow-up after undergoing endonasal double-dome tip rhinoplasty.


RESULTS
Results at 1 year showed high rates of supratip (94%), dome (96%), and nostril (88%) symmetry. There was a high rate of patient satisfaction with a low rate of revision (7%).


CONCLUSIONS
Endonasal double-dome tip surgery provides the surgeon the ability to achieve consistent results with high patient satisfaction and a low rate of revision.
Perkins
S W
SW
Meridian Plastic Surgery Center, 170 W 106th St, Indianapolis, IN 46290, USA. mmackhamilton@aol.com
Hamilton
M M
MM
McDonald
K
K
D004954:Esthetics / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*