Foto's
Hump resection
Anterior nasal spine reduction to correct crowded upper lip.
Tip refinement and hump resection
Delivery approach followed by tip surging and cephalic resection of the lower laterals.
Deep naso-frontal angle
Slight reduction of the dorsum, Naso-frontal augmentation, Endonasal approach.
Overprojected nose with tip deformity
Lowering nasal dorsum. Tip reconstruction and de-projection and upward rotation. External approach.
Direct post operatief
External approach and an interrupted strip technique of the lower laterals for this overprojected nose and deep naso-frontal groove.
A revision case, I see often. An over rotation of the tip. In this case I used an external approach, to shorten the medial crura with minimal lowering of the cartilaginous/ bony vault.
Rhinoplasty, external approach hump resection, tip refinement, columella retraction suture for subtle improvement of the naso- labial angle.