Introduction: Anatomy, surgical manoeuvres, scarring and physiologic nasal aging determine the final outcome of nasal tip on rhinoplasty patients.
Patients and method: Post-operative nasal tip changes in 182 rhinoplasty patients operated on by the same surgeon and with a minimum one year of follow-up were studied. A personal interview was arranged with all patients and facial photographs were taken. Nasal tip rotation, projection and definition were measured.
Results: After multivariate analysis, surgical manoeuvres with a statistical impact on the long-term outcome of the nasal tip were dome lateralization greater than 3 mm, columellar strut and shield graft.
Discussion and conclusions: Cartilage reshaping and tip grafting provide consistent long-lasting results in nasal tip surgery.