title: Nuances in tip modification: specific applications of cartilage splitting in rhinoplasty.
abstract: Division of the lower lateral cartilages in rhinoplasty has long been maligned for producing unnatural results. However, recognition of medial, intermediate, or lateral crural discrepancies allows for their division and overlay. By identifying variant nasal anatomy and understanding the anticipated postsurgical dynamics, the rhinoplasty surgeon will be able to produce consistent, natural outcomes.
authors.affiliation: Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University School of Medicine, New York, New York 10016, USA.
authors.forename: Anil R
authors.initials: AR
authors.lastname: Shah
authors.forename: Minas
authors.initials: M
authors.lastname: Constantinides
mesh_terms: D006801:Humans; D009300:Nasal Septum / Q000033:anatomy & histology / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*