Cartilage delivery and open rhinoplasty as two preferred approaches to the nasal tip.

Abstract

There seems to be a great difference of opinion among rhinoplastic surgeons concerning incisions to gain access to the nasal tip. Some state that the method of exposure is of secondary importance. This author firmly believes that many unsatisfactory results could be avoided if adequate surgical exposure were used for nasal tip surgery. Alar cartilage delivery and external approach rhinoplasty are recommended as the only methods for all cases. These methods are described in detail, and in accordance with the author's conviction that all pre- and postoperative photographs should be published to allow proper assessment, these are provided in selected cases.