NASAL TIP CORRECTION in Hamburg

Correcting the nasal tip involves a variety of techniques that are individually applied to different deformities.

The alar cartilages largely determine the shape and position of the nasal tip. To shape the alar cartilages into the desired shape, suture techniques that reshape the cartilage are primarily used.

In addition, cartilage resections may be necessary, for example, in cases of very broad alar cartilage. In some cases, such as sunken alars, additional reinforcement with cartilage (so-called lateral crural strut grafts) is necessary.

In almost all cases of nasal tip correction, we use an open approach to the nose because this is the most reliable way to restore symmetry.

In the so-called boxy tip, the alar cartilages are shaped to extend outwards, creating the angular character of this nose shape.

To narrow the nasal tip, the alar cartilages must be reshaped so that they are closer together. The result is the desired triangular shape.

A nasal tip that is too narrow is particularly common in patients with a tension nose and in patients who have undergone previous surgery and in whom too much of the alar cartilage has been removed (pinched nose).

In a tension nose, the nasal septum must be corrected to relieve tension from the tip, which is then sutured into an aesthetically pleasing position. In patients with previous surgery, cartilage grafts are sometimes necessary to restore the stability and position of the nasal tip.

A common cause of a deviated nasal tip is a deviated septum, the presence of a cleft lip and palate, and scarring from an accident or previous surgery.

As with almost all nasal surgeries, straightening the nasal septum is a prerequisite for all subsequent steps. Only then can the alar cartilages be further adjusted to achieve a symmetrical position of the nasal tip.

This nasal tip shape is rather rare. The nasal tip protrudes too far from the face in relation to the nasal bridge.

The goal of the surgery is to lower the nasal tip by positioning the alar cartilages lower.

A drooping nasal tip is often found in combination with a humped nose. Drooping nasal tips can become more pronounced over the course of life as the skin and connective tissue loosen with age.

In addition to rotating the nasal tip upward, stabilization is crucial to prevent the nasal tip from drooping again.

This change in shape is often the result of overly aggressive rhinoplasty. The result is an artificial, surgically reconstructed nose with excessive visibility into the nostrils (a pig's nose).

A downward rotation is not always easy to achieve, especially if too much of the nasal septum was removed during a previous operation. In this case, it must first be reconstructed before the actual nasal tip can be positioned correctly.

This nasal tip shape can manifest itself either dynamically as a suction effect during inhalation or statically with permanently sunken alar of the nose. In both cases, the cause is weak lateral alar cartilage.

In less severe cases, tightening the alar cartilage is sufficient. In severe cases, the alar cartilage must be stabilized with additional cartilage.

Wide nostrils are typical in some ethnic groups. If the nostrils are too wide and protruding, narrowing can be performed.

It's important to note that narrowing the nostrils never improves nasal breathing. To prevent this from worsening, too much tissue should never be removed from the alar of the nose.