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  • Title: [Long-term changes on nasal tip in rhinoplasty patients operated with the new domes technique and the banner technique].
    Author: Morera Serna E, Escobar Forero CM, Pedroza Campos F, Frontera Juan G.
    Journal: Acta Otorrinolaringol Esp; 2008 Oct; 59(8):390-8. PubMed ID: 18928675.
    Abstract:
    INTRODUCTION: Anatomy, surgical manoeuvres, scarring and physiologic nasal aging determine the final outcome of nasal tip on rhinoplasty patients. PATIENTS AND METHOD: Post-operative nasal tip changes in 182 rhinoplasty patients operated on by the same surgeon and with a minimum one year of follow-up were studied. A personal interview was arranged with all patients and facial photographs were taken. Nasal tip rotation, projection and definition were measured. RESULTS: After multivariate analysis, surgical manoeuvres with a statistical impact on the long-term outcome of the nasal tip were dome lateralization greater than 3 mm, columellar strut and shield graft. DISCUSSION AND CONCLUSIONS: Cartilage reshaping and tip grafting provide consistent long-lasting results in nasal tip surgery.
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