Reconstructive rhinoplasty: The 3-dimensional nasal tip

Oren Friedman, Timur Akcam, Ted Cook

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations


Objectives: To review nasal alar support mechanisms, introduce the concept of tractional forces on the nasal ala, and describe a reconstructive technique to correct nasal tip deformities associated with weakened tractional force on the nasal ala. Design: Photographic study and retrospective medical chart review. Results: We noted that patients with weakened support at the dome of the lower lateral cartilage had lateral alar deformities. Strengthening the cartilaginous deficiency improved the nasal appearance and function in 90% of patients. Conclusions: Deformities of the nasal tip are among the most difficult to correct. Tractional forces provided by dome strength help to maintain the ala in its normal anatomical position. Structural tip grafts restore the tractional force and, thereby, help to correct the alar deformity.

Original languageEnglish (US)
Pages (from-to)195-201
Number of pages7
JournalArchives of Facial Plastic Surgery
Issue number3
StatePublished - May 2006
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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