The Cephalic Tuck Procedure [Techniques in Facial Plastic Surgery]

Techniques in Facial Plastic SurgeryArch Facial Plast Surg May/Jun 2011 2011;13(3):213. Jon-Paul Pepper, MD; Shan R. Baker, MD

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Alfred Taubman Health Care Center, Ann Arbor.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Cephalic trim is commonly used in an effort to refine the nasal tip. One of the attendant risks of this procedure is alar retraction secondary to overresection. We describe a method to achieve nasal tip refinement while simultaneously reinforcing the lateral crura and thereby strengthening the alar cartilage and reducing its convexity.

View a video demonstrating this technique.

The cephalic tuck procedure. The cephalic portion of the alar cartilage is tucked under the lateral crus to achieve tip refinement and strengthen the lower lateral cartilage.

View the original article here

Evolution in Nasal Tip Contouring Techniques: A 10-Year Evaluation and Analysis [Research Letters]

Arch Facial Plast Surg May/Jun 2011 2011;13(3):217-219. Ali Sepehr, MD; Nitin Chauhan, MD; Ashlin J. Alexander, MD; Peter A. Adamson, MD, FRCSC

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, University of Toronto, Toronto, Ontario, Canada.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

To our knowledge, there has been no formal statistical evaluation of the trends of nasal tip management in rhinoplasty. Our first objective was to evaluate the changing trends in septorhinoplasty techniques for nasal tip contouring, within a single-surgeon, private facial plastic surgery practice. Our second goal was to determine if this change in techniques has led to improvement in outcomes.

We performed a retrospective medical chart review consisting of 2 groups of 50 consecutive patients who had undergone rhinoplasty. The 2 groups spanned a 10-year period, one from 1999 and the other from 2008. The study took place at a private facial plastic surgery practice with a focus on rhinoplasty, recognized as a center for revision rhinoplasty referral, in a major metropolitan area. Data collection included patient demographics and types of tip-plasty maneuvers performed. These techniques were categorized as either (1) reductive maneuvers or (2) stabilizing and strengthening maneuvers. The …

View the original article here