The tripod theory of nasal tip support revisited: the cantilevered spring model.
OBJECTIVE
To extrapolate on the tripod concept to create a more universal and multiethnic model that includes common anatomical configurations and strategies to avoid certain unwanted surgical outcomes.


METHODS
Analysis of current surgical methods, scientific studies, and predominant theories to produce a new model of nasal tip support based on the biomechanical properties of the nasal cartilages.


RESULTS
The nasal tip acts as a cantilevered spring that associates with other rigid and semirigid regions of the nose. Application of these concepts resulted in preservation of projection and tip rotation in appropriately selected patients.


CONCLUSIONS
The cantilevered spring tripod provides a more universal model for explaining nasal tip dynamics in a contemporary multiethnic population of patients seeking functional or cosmetic rhinoplasty correction.
Westreich
Richard W
RW
Department of Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, NY 11201, USA. doctor@newyorknose.com
Lawson
William
W
D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000033:anatomy & histology*; D012225:Rhinoplasty / Q000379:methods*