Correction of Nasal Pinching

Ari J Hyman; Sarah Khayat; Dean M Toriumi

doi:10.1016/j.fsc.2019.07.004

Correction of Nasal Pinching

Facial Plast Surg Clin North Am. 2019 Nov;27(4):477-489. doi: 10.1016/j.fsc.2019.07.004. Epub 2019 Sep 4.

Authors

Ari J Hyman¹, Sarah Khayat², Dean M Toriumi³

Affiliations

¹ Private Practice, Facial Plastic and Reconstructive Surgery, 16311 Ventura Boulevard #600, Encino, CA 91436, USA.
² Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA.
³ Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. Electronic address: dtoriumi@uic.edu.

PMID: 31587767
DOI: 10.1016/j.fsc.2019.07.004

Abstract

The pinched nasal tip deformity often results as sequelae of prior nasal surgery. Conventional tip surgery techniques that overemphasize tip narrowing often deform the lateral crura and weaken support for the alar margin. The pinched nasal tip is characterized by the demarcation between the nasal tip and the alar lobule, isolating the tip from the surrounding nasal subunits. Lateral crural strut grafts with or without repositioning offer the surgeon a powerful maneuver that can help correct this functional and aesthetic deformity and restore a natural appearance to the nasal tip.

Keywords: Alar rim grafts; Cephalic malpositioning; Complications in rhinoplasty; Lateral crural repositioning; Lateral crural strut grafts; Nasal tip contouring; Pinched nasal tip; Revision rhinoplasty.

Publication types

Review

MeSH terms

Humans
Hyaline Cartilage / transplantation*
Nose / abnormalities*
Nose / surgery*
Nose Deformities, Acquired / pathology
Nose Deformities, Acquired / surgery*
Preoperative Period
Rhinoplasty / methods*
Tissue and Organ Harvesting