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Cartilaginous Bulbous Tip Rhinoplasty

Annals of Plastic Surgery May-2017

Annals of Plastic Surgery
May, 2017
Quantitative Measurements of the
Bulbous Tip in Ethnic Rhinoplasty

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1.) Cartilaginous Bulbous Tip

Over-developed, prominently sized or shaped Lower Lateral Cartilages. This type can occur in Caucasian and Ethnic patients. The same Lower Lateral Cartilages that are small, flimsy and lacking support for the Ethnic Bulbous Tip are, in this case, strong, broad and shaped in a way that pushes out on the nasal skin, creating a rounded, prominent nasal tip.

Bulbous Tip due to over-developed, over-projected Lower Lateral Cartilages.

Surgical Approaches to Treatment of the Cartilaginous Bulbous Tip.

Surgical reduction of over-projected Lower Lateral Cartilages can include:
1.) & 2.) Cephalic Strip, 3.) Dome Division, 4.) Septal Strut Graft to reshape the tip.

Surgical Approaches to Treatment of the Cartilaginous Bulbous Tip.

Then the septal strut is sutured to the medial crura (1. & 2.) of the Lower
Lateral Cartilages. The Shield Graft is then carved and secured to the septal
strut – lower lateral cartilage complex (3., 4., 5.), using 5-0 nylon suture.

Reduction of Bulbous Tip – Dome Division, Cephalic Strip and Septal Strut Graft.

Bulbous Tip Rhinoplasty Dome Division, Lateral Crural Advancement, Septal Strut Graft.

Bulbous Tip Rhinoplasty – reshaping of Lower Lateral Cartilages.

Bulbous Tip Rhinoplasty – Dome Division, Cephalic Strip, Strut Graft, and Shield Graft.

Bulbous Tip Rhinoplasty – reshaping of Lower Lateral Tip Cartilages.

Ethnic Cartilaginous Bulbous Tip Rhinoplasty – Tip Cartilage
reshaping and thinning of the Tip Skin.

Ethnic Cartilaginous Bulbous Tip Rhinoplasty – reshaping of the Tip.

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