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Multifactorial approaches for correction of the drooping tip of a long nose in East asians.

Park SG, Jeong H, Ye CH - Arch Plast Surg (2014)

Bottom Line: Static causes usually result from malposition and incorrect innate shape of the nasal structure: the nasal septum, upper and lower lateral cartilages, and the ligaments in between.The dynamic causes result from the facial expression muscles, the depressor septi nasi muscle, and the levator labii superioris alaeque nasi muscle.The depressor septi nasi depresses the nasal tip and the levator labii superioris alaeque nasi pulls the alar base upwards.

View Article: PubMed Central - PubMed

Affiliation: Joseph's Plastic Surgery Center, Daegu, Korea.

ABSTRACT
A long nose with a drooping tip is a major aesthetic problem. It creates a negative and aged appearance and looks worse when smiling. In order to rectify this problem, the underlying anatomical causes should be understood and corrected simultaneously to optimize surgical outcomes. The causes of a drooping tip of a long nose are generally classified into two mechanisms. Static causes usually result from malposition and incorrect innate shape of the nasal structure: the nasal septum, upper and lower lateral cartilages, and the ligaments in between. The dynamic causes result from the facial expression muscles, the depressor septi nasi muscle, and the levator labii superioris alaeque nasi muscle. The depressor septi nasi depresses the nasal tip and the levator labii superioris alaeque nasi pulls the alar base upwards. Many surgical methods have been introduced, but partial approaches to correct such deformities generally do not satisfy East Asians, making the problem more challenging to surgeons. Typically, East Asians have thick nasal tip soft tissue and skin, and a depressed columella and alar bases. The authors suggest that multifactorial approaches to static and dynamic factors along with ancillary causes should be considered for correcting the drooping tip of the long noses of East Asians.

No MeSH data available.


Related in: MedlinePlus

Algorithm for surgical correction of drooping tipTo correct the drooping tip, first, five basic procedures for building and maintaining adequate tip projection are performed, and then additional procedures can be considered. SMAS, superficial musculoaponeurotic system; ANS, anterior nasal spine.
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Figure 2: Algorithm for surgical correction of drooping tipTo correct the drooping tip, first, five basic procedures for building and maintaining adequate tip projection are performed, and then additional procedures can be considered. SMAS, superficial musculoaponeurotic system; ANS, anterior nasal spine.

Mentions: An algorithm for surgical correction of the drooping tip is outlined (Fig. 2).


Multifactorial approaches for correction of the drooping tip of a long nose in East asians.

Park SG, Jeong H, Ye CH - Arch Plast Surg (2014)

Algorithm for surgical correction of drooping tipTo correct the drooping tip, first, five basic procedures for building and maintaining adequate tip projection are performed, and then additional procedures can be considered. SMAS, superficial musculoaponeurotic system; ANS, anterior nasal spine.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4228203&req=5

Figure 2: Algorithm for surgical correction of drooping tipTo correct the drooping tip, first, five basic procedures for building and maintaining adequate tip projection are performed, and then additional procedures can be considered. SMAS, superficial musculoaponeurotic system; ANS, anterior nasal spine.
Mentions: An algorithm for surgical correction of the drooping tip is outlined (Fig. 2).

Bottom Line: Static causes usually result from malposition and incorrect innate shape of the nasal structure: the nasal septum, upper and lower lateral cartilages, and the ligaments in between.The dynamic causes result from the facial expression muscles, the depressor septi nasi muscle, and the levator labii superioris alaeque nasi muscle.The depressor septi nasi depresses the nasal tip and the levator labii superioris alaeque nasi pulls the alar base upwards.

View Article: PubMed Central - PubMed

Affiliation: Joseph's Plastic Surgery Center, Daegu, Korea.

ABSTRACT
A long nose with a drooping tip is a major aesthetic problem. It creates a negative and aged appearance and looks worse when smiling. In order to rectify this problem, the underlying anatomical causes should be understood and corrected simultaneously to optimize surgical outcomes. The causes of a drooping tip of a long nose are generally classified into two mechanisms. Static causes usually result from malposition and incorrect innate shape of the nasal structure: the nasal septum, upper and lower lateral cartilages, and the ligaments in between. The dynamic causes result from the facial expression muscles, the depressor septi nasi muscle, and the levator labii superioris alaeque nasi muscle. The depressor septi nasi depresses the nasal tip and the levator labii superioris alaeque nasi pulls the alar base upwards. Many surgical methods have been introduced, but partial approaches to correct such deformities generally do not satisfy East Asians, making the problem more challenging to surgeons. Typically, East Asians have thick nasal tip soft tissue and skin, and a depressed columella and alar bases. The authors suggest that multifactorial approaches to static and dynamic factors along with ancillary causes should be considered for correcting the drooping tip of the long noses of East Asians.

No MeSH data available.


Related in: MedlinePlus