title: [Over projected tip].
abstract: Overprojected tip is a pretty usual request not easy to manage. Preop analysis is crucial in order to evaluate tip support and skin thickness and ability to retract. For example, if the skin is very thick and has poor chance to retract, the surgeon should be very careful in the tip projection decreasing to avoid a skin pollybeak deformity. In such cases, he has to analyze the facial proportions, especially other areas projection (radix, dorsum and chin) and think about augmenting them to balance the profile rather than decreasing tip projection. Correction should always be conducted incrementally, starting with weakening the tip support mechanisms and, only if necessary, continue with alar cartilage interruption. This can be performed on many areas (lateral cruras, domes, medial cruras) and with several techniques (resection or interruption+overlapping).
authors.affiliation: Cabinet de chirurgie plastique, reconstructrice et esthétique, 76, avenue Raymond-Poincaré, 75116 Paris, France. Electronic address: jeanbriceduron@hotmail.com.
authors.forename: J-B
authors.initials: JB
authors.lastname: Duron
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Conception, 147, Boulevard-Baille, 13005 Marseille, France; Clinique Saint-Roch, 99, avenue Saint-Roch, 83000 Toulon, France.
authors.forename: P S
authors.initials: PS
authors.lastname: Nguyen
authors.affiliation: Cabinet de chirurgie plastique, reconstructrice et esthétique, 13, rue le Corbusier, Grand Place, Les passages de l'Hôtel de ville, 92100 Boulogne-sur-Seine, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Levet
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Conception, 147, Boulevard-Baille, 13005 Marseille, France.
authors.forename: J
authors.initials: J
authors.lastname: Bardot
authors.affiliation: Cabinet de chirurgie plastique, reconstructrice et esthétique, 76, avenue Raymond-Poincaré, 75116 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Aiach
mesh_terms: D002508:Cephalometry / Q000379:methods; D004954:Esthetics; D006801:Humans; D009666:Nose / Q000002:abnormalities*; D011300:Preoperative Care / Q000379:methods; D012225:Rhinoplasty / Q000379:methods*
keywords: Dome resection; Déséquilibre racine/base du nez; Greffe de la racine du nez; Interruption des dômes; Nez en tension; Overprojected tip; Pointe hyper-projetée; Radix graft; Recul de la pointe du nez; Rhinoplastie; Rhinoplasty; Tension nose; Tip support