title: Hezarfen wings: a lower lateral cartilage-based cartilage suspension technique for the adjustment of nasal tip rotation and projection and the correction of supratip deformity.
abstract: Nasal tip surgery is one of the most important parts of rhinoplasty to achieve an attractive nose. There are numerous techniques focusing on the correction of nasal tip rotation and projection. In this article, a new cartilage support derived from the cephalic border of lower lateral cartilages is used for the adjustment of tip rotation and projection, whereas improving supratip fullness is presented. Bilaterally harvested cartilage extensions are resembled as bird's wings and dedicated to the wings that were created by the world's first scientist who flew from one continent to another: Hezarfen Ahmed Çelebi. Thirty-two patients who underwent open-approach rhinoplasty operation including the abovementioned method were evaluated retrospectively. After performing conventional steps of open approach rhinoplasty, a wing is created by making a cephalic incision parallel to the lateral crural axis leaving the medial attachment intact and then undermined. Then, the cartilage is turned over the midline bilaterally as it acts like a curb by pulling or releasing the wings to adjust to the desired tip rotation and projection and sutured to the repaired upper lateral cartilage roof. Other 2 types of using these wings were asymmetric suturing one of the wings to help in the redirection of deviated nasal tip (n = 12) and suturing each other at midline to support the overlying skin like a tent with supratip deficiency (n = 7). The authors presented here both esthetic and functional outcomes of Hezarfen wings' method that was used for both nasal tip adjustments and supratip support.
authors.affiliation: From the *Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal; †Medical Faculty, Department of Plastic Reconstructive and Aesthetic Surgery, Bezm-i Alem Vakif Gureba University; and ‡Department of Plastic Reconstructive and Aesthetic Surgery, Gaziosmanpaşa Hospital, Gaziosmanpaşa, Istanbul, Turkey.
authors.forename: Nebil
authors.initials: N
authors.lastname: Yeşiloğlu
authors.forename: Murat
authors.initials: M
authors.lastname: Sarici
authors.forename: Gökhan
authors.initials: G
authors.lastname: Temiz
authors.forename: Kemalettin
authors.initials: K
authors.lastname: Yildiz
authors.forename: Berkan
authors.initials: B
authors.lastname: Mersa
authors.forename: Gaye Taylan
authors.initials: GT
authors.lastname: Filinte
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009666:Nose / Q000002:abnormalities*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013537:Sutures; D055815:Young Adult