title: Nasal Tip Deficiency.
abstract: Nasal tip deficiency can be congenital or secondary to previous nasal surgeries. Underdeveloped medial crura usually present with underprojected tip and lack of tip definition. Weakness or malposition of lateral crura causes alar rim retraction and lateral nasal wall weakness. Structural grafting of alar cartilages strengthens the tip framework, reinforces the disrupted support mechanisms, and controls the position of the nasal tip. In secondary cases, anatomic reconstruction of the weakened or interrupted alar cartilages and reconstitution of a stable nasal tip tripod must be the goal for a predictable outcome.
authors.affiliation: Private Practice, Hakki Yeten Cad No: 17/6, Fulya, Besiktas, Istanbul 34365, Turkey. Electronic address: ncerkes@hotmail.com.
authors.forename: Nazim
authors.initials: N
authors.lastname: Cerkes
mesh_terms: D005260:Female; D006801:Humans; D055171:Nasal Cartilages / Q000002:abnormalities* / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D055815:Young Adult
keywords: Bended lateral crural graft; Lateral crural graft; Lateral crural grafting; Lateral crural lengthening; Lateral crural steal; Nasal tip deficiency; Tip grafting; Tip projection