Aesthetic and Plastic Surgery Institute, University of California Irvine, Irvine, CA, USA.
Aesthet Surg J. 2009 Nov-Dec;29(6):528-37. doi: 10.1016/j.asj.2009.09.013.
In cosmetic rhinoplasty, the patient's satisfaction is most often determined by the quality of the tip surgery, but perfecting a technique for consistently attractive tips can be challenging. As a result, rhinoplasty surgery is now entering a new era of "designer tip" operations, wherein surgeons can employ a combination of open suture tip techniques and tip refinement grafts to achieve consistent results. The grafts are made from excised lateral crural cartilage and, depending upon the specific aesthetic goals, the shape can include the following:domal, shield, diamond, folded, or combination. It is possible to alter dome-defining points, tip point, projection,definition, volume, and size and shape. A study of 100 consecutive female rhinoplasties indicated that tip sutures alone were used in 36% of cases, while a tip refinement graft was added to a sutured tip in 59% of cases.
在美容性鼻整形术中，患者的满意度通常主要由鼻尖手术的质量决定，但要使鼻尖始终保持美观，这可能颇具挑战性。因此，鼻整形术现已进入“设计师鼻尖”操作的新时代，外科医生可以结合开放式缝合尖端技术和尖端整形移植物来获得一致的效果。移植物取自切除的外侧脚软骨，根据具体的审美目标，形状可以包括以下几种：穹窿状、盾状、菱形、折叠状或组合状。可以改变穹窿定义点、鼻尖点、突出度、清晰度、体积以及大小和形状。对 100 例连续女性鼻整形术的研究表明，仅使用尖端缝线的占 36%，而在 59%的病例中，在缝合的尖端上加用了尖端整形移植物。
