A technical refinement to prevent supratip deformity in aesthetic rhinoplasty: "the trapezoid peak"

Aesthetic Plast Surg. 2007 Jan-Feb;31(1):88-93. doi: 10.1007/s00266-006-0153-1.


Background: The relationship between appropriate caudal dorsum resection and supratip deformity or inadequate tip projection currently is clear. Correct quadrangular cartilage management seems to have a basic role in the final tip aspect after aesthetic rhinoplasty.

Methods: Primary aesthetic rhinoplasty was performed for 38 Caucasian patients. A septal refinement was used for patients requiring extra tip support and not requiring grafts.

Results: The minimum follow-up period was 1 year. No supratip deformity was noted after surgery. The tip and midvault had adequate projection.

Conclusions: The described maneuver sustains the alar cartilage without sutures, preventing supratip deformity, sustaining soft tissues, and avoiding loss of tip projection.

MeSH terms

  • Follow-Up Studies
  • Humans
  • Nose / abnormalities*
  • Postoperative Complications / prevention & control*
  • Rhinoplasty / adverse effects*
  • Rhinoplasty / methods*