title: Transfixion incision as an initial technique in nasal tip deprojection.
abstract: BACKGROUND
  The overprojected nasal tip presents a significant challenge to the surgeon performing rhinoplasty. Full transfixion incision as a means of dealing with this deformity has been studied only in combination with other surgical methods.
  
  
  OBJECTIVE
  To determine whether transfixion incision alone would result in significant nasal tip deprojection, and if skin thickness had an effect on the extent of deprojection the procedure yielded.
  
  
  METHODS
  Seventy-two consecutive patients with an aesthetic goal of nasal tip deprojection were enrolled. The sole surgical means of deprojection used was transfixion incision. Subjects were categorized as thin-, medium- or thick-skinned based on the surgeon's analysis. These groups were compared in terms of their postprocedural nasal tip deprojection.
  
  
  RESULTS
  Using transfixion incision as the sole means of correcting this deformity resulted in a mean nasal tip deprojection of 1.6 mm (ranging from 0 mm to 3 mm). Patients in the thin skin group had a mean deprojection of 2.12 mm. This was significantly greater than for both the medium- and thick-skinned groups. There was no significant difference between the medium- and thick-skinned groups.
  
  
  CONCLUSIONS
  Surgeons may use skin thickness when planning interventions for correcting nasal tip overprojection. When used alone, transfixion incision resulted in tip deprojection comparable with that achieved when combined with other methods, particularly for thin-skinned patients. Surgeons can thus use a graduated approach in which transfixion incision, the least destructive method, is used before proceeding with other interventions.
authors: Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario.
authors: Philip
authors: P
authors: Solomon
authors: Richard
authors: R
authors: Rival
authors: Aimee
authors: A
authors: Mabini
authors: Jennifer
authors: J
authors: Boyd