Home > Articles > Conclusions

	Sign up for Newsletter
	Before & After Photos
	Dr. Kridel in Vogue Magazine, where he was the only facial plastic surgeon noted for Texas. Dr. Kridel voted top doc for women by H Texas Magazine. Dr. Kridel named as a Super Doctor in Texas Monthly Magazine.

Nasal Tip Overprojection Page 01 Page 02 Page 03 Page 04 Page 05 Page 06 Page 07 Page 08 Page 09

We found that this algorithm for deprojection accomplishes the needed deprojection in every situation we have encountered. Most importantly, our long-term experience with these procedures has shown that, when properly used, the algorithm can be used to accomplish retrodisplacement of the tip with the desired changes required in tip rotation in a safe, functionally appropriate way. As with any rhinoplasty, tip asymmetries can arise. However, our revision rate of 4.2% for tip irregularity and our finding that no patients had postoperative functional complaints allows us to feel confident that this algorithmic paradigm can be used to accomplish tip deprojection in almost any circumstance.

Accepted for Publication: July 28, 2005. Correspondence: Russell W. H. Kridel, MD, Facial Plastic Surgery Associates, 6655 Travis St, Suite 900, Houston, TX 77030 (rkridel@todaysface.com).

References

1. Crumley RL, Lanser M. Quantitative analysis of nasal tip projection. Laryngoscope. 1988;98:202-208.
2. Byrd HS, Hobar PC. Rhinoplasty: a practical guide for surgical planning. Plast Reconstr Surg. 1993;91:642-654.
3. McKinney P, Sweiss I. A clinical definition of an ideal nasal radix. Plast Reconstr Surg. 2002;109:1416-1418.
4. Kridel RWH, Konior RJ. Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg. 1991;117:411-415.
5. Kridel RWH, Konior RJ. Dome truncation for management of the overprojected nasal tip. Ann Plast Surg. 1990;24:385-396.
6. Konior RJ, Kridel RWH. Controlled nasal tip positioning via the open rhinoplasty approach. Facial Plast Surg Clin North Am. 1993;1:53-62.
7. Sheen JH, Sheen AP. Aesthetic Rhinoplasty. 2nd ed. St Louis, Mo: Mosby–Year Book Inc; 1987:70-74.
8. Tardy ME, Walter MA, Patt BS. The overprojecting nose: anatomic component, analysis and repair. Facial Plast Surg. 1993;9:306-317.
9. Joseph J. Nasoplastik und Sonstige Geischts Plastik Nebst Mammoplastik. Leipzig, Germany: Curt Kabitzsch; 1931.
10. Safian J. Corrective Rhinoplastic Surgery. New York, NY: P Hoebar; 1935.
11. Smith TW. Reliable methods of tip reduction. Arch Otolaryngol. 1978;104:564- 569.
12. Brennan HG. Dome-splitting technique in rhinoplasty with overlay of lateral crura. Arch Otolaryngol. 1983;109:586-592.
13. Lipsett EM. A new approach to surgery of the lower cartilaginous vault. Arch Otolaryngol. 1959;70:42-47.
14. Berman WE. Surgery of the nasal tip. Otolaryngol Clin North Am. 1975;8:563-574.
15. McCurdy JA. Reduction of excessive nasal tip projection with a modified Lipsett technique. Ann Plast Surg. 1978;1:478-480.
16. Parkes MH, Kanodia R, Kern EB. The universal tip: a systematic approach to aesthetic problems of the lower lateral cartilages. Plast Reconstr Surg. 1988;81: 878-890.
17. Foda HMT. Alar setback technique: a controlled method of nasal tip deprojection. Arch Otolaryngol Head Neck Surg. 2001;127:1341-1346.
18. Webster RC, Smith RC. Lateral crural retrodisplacement for superior rotation of the tip in rhinoplasty. Aesthetic Plast Surg. 1979;3:65-78.