title: Reshaping of the Broad and Bulbous Nasal Tip.
abstract: This article presents a contemporary overview of tip suturing and tip structural grafting techniques used to refine the wide nasal tip. Previous reductive techniques have proved to produce unnatural results over time. It is imperative to correctly evaluate the nose and assess all possible pitfalls during the preoperative period before outlining a surgical plan. Intraoperatively, an algorithmic approach helps obtain a reproducible and refined yet properly narrowed domal tip region with graceful contours that extend laterally to the alar lobule with proper shadowing.
authors.affiliation: Department of Head and Neck Surgery, Harbor-UCLA Medical Center, 433 North Camden Boulevard, Suite 780, Beverly Hills, CA 90210, USA.
authors.forename: Karan
authors.initials: K
authors.lastname: Dhir
authors.affiliation: Department of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, Los Angeles, 433 North Camden Boulevard, Suite 780, Beverly Hills, CA 90210, USA. Electronic address: rose@ghavamiplasticsurgery.com.
authors.forename: Ashkan
authors.initials: A
authors.lastname: Ghavami
mesh_terms: D006801:Humans; D055171:Nasal Cartilages / Q000601:surgery*; D009296:Nasal Cavity / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques
keywords: Boxy nasal tip; Broad nasal tip; Bulbous nasal tip; Ethnic rhinoplasty; Nasal tip grafting; Nasal tip reshaping; Nasal tip surgery; Tip sutures