Achieving a proper nasal tip projection is a crucial element of a successful rhinoplasty. A large number of correction methods and manoeuvres have been proposed in the medical literature as solutions for the prominent nasal tip, thus complicating the surgeon's strife to choose the ideal plan of action. In the present article, a single straight-forward technique, christened the ‘universal retraction suture’, is suggested to tackle the overprojecting tip in a simplified, controlled and efficient fashion.
SoliemanzadehP, KridelRWH. Nasal tip overprojection: Algorithm of surgical deprojection techniques and introduction of medial crural overlay.Arch Facial Plast Surg2005; 7: 374-80.
2.
CrumleyRL, LanserM. Quantitative analysis of nasal tip projection.Laryngoscope1988; 98: 202-8.
3.
TardyE, WalterMA, PattBS. The overprojecting nose: Anatomic component analysis and repair.Facial Plast Surg1993; 9: 306-16.
4.
GoodeR. A method of tip projection measurement. In: PowellS, HumphreysB. Proportion of the Aesthetic Face.Thieme-Stratton: New York, 1984:24.
5.
SimonsRL. Nasal tip projection, ptosis, and supratip thickening.J Ear Nose Throat1982; 61: 452-5.
6.
GuyuronB, GhavamiA, WishnekSM. Components of the short nostril.Plast Reconstr Surg2005; 116: 1517.
7.
IngelsK, OrhanKS. Measurement of preoperative and postoperative nasal tip projection and rotation.Arch Facial Plast Surg2006; 8: 411-5.
8.
SolomonP, RivalR, MabiniA, BoydJ. Transfixion incision as an initial technique in nasal tip deprojection.Can J Plast Surg2008; 16: 224-7.
9.
SafianJ. Corrective Rhinoplastic Surgery.New York, New York: 1935.
10.
LipsettEM. A new approach to surgery of the lower cartilaginous vault.Arch Otolaryngol1959; 70: 42-7.
11.
WebsterRC, SmithRC. Lateral crural retrodisplacement for superior rotation of the tip in rhinoplasty.Aesthetic Plast Surg1979; 3: 65-78.
12.
ParkesMH, KanoliaR, KernEB. The universal tip: A systemic approach to aesthetic problems of the lower lateral cartilages.Plast Reconstr Surg1988; 81: 878-90.
13.
ConradK. Nasal tip reduction: Predictable part of rhinoplasty.J Otolayngol1981; 10: 420.
14.
PapanastasiouS, LoganA. Management of the overprojecting nasal tip. A review.Aesthet Plast Surg2000; 24: 353-6.
15.
FodaHMTAlar setback technique: A controlled method of nasal tip deprojection.Arch Otolaryngol2001; 127: 1341-6.
16.
McCulloughE, MangratD. Systemic approach to correction of the nasal tip in rhinoplasty.Arch Otolaryngol1981; 107: 12-6.
17.
GhavamiA, JanisJE. Tip shaping in primary rhinoplasty: An algorithmic approach.Plast Reconstr Surg2008; 122: 1229-41.
18.
KridelRWH, KoniorRJ. Domes truncation for management of the overprojected nasal tip.Ann Plast Surg1990; 24: 385-96.
