title: A new technique in nasal-tip reduction surgery.
abstract: This article presents a technique for the reduction of the overprojected nasal tip with a proportional reduction of the nostril-margin circumference. To achieve these reductions, a modified open rhinoplasty technique is used, which is unique in that it involves the total transection of the columella through the medial crura of the alar cartilage. The alar cartilage is raised with the flap. The technique was first developed and introduced by the senior author (R.A.S.) 25 years ago and has since been refined through the execution of several thousand rhinoplasties. The results continue to be consistent and pleasing from both the patients' and the surgeon's points of view.
authors.affiliation: Society of Otorhinolaryngology, the Royal Australian College of Surgeons, Sydney, Australia. robertsmith@bigpond.com.au
authors.forename: R A
authors.initials: RA
authors.lastname: Smith
authors.forename: E T
authors.initials: ET
authors.lastname: Smith
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods*