title: A successful 15-year experience in double-dome tip surgery via endonasal approach: nuances and pitfalls.
abstract: 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.
authors.affiliation: Meridian Plastic Surgery Center, 170 W 106th St, Indianapolis, IN 46290, USA. mmackhamilton@aol.com
authors.forename: S W
authors.initials: SW
authors.lastname: Perkins
authors.forename: M M
authors.initials: MM
authors.lastname: Hamilton
authors.forename: K
authors.initials: K
authors.lastname: McDonald
mesh_terms: D004954:Esthetics / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*