Mounir Abderrahman, Latimer-Sayer Edward
Abbey Pines Hospital, Manchester, United Kingdom.
Ann Plast Surg. 2012 Jun;68(6):549-54. doi: 10.1097/SAP.0b013e318217b63d.
When reshaping the pinched and/or pointed nasal tip, the use of cartilage grafting and internal sutures has been proven to be an excellent tool when the skin is not too thin. A new technique in tip aesthetics is presented. Its surgical applications are discussed.
A tip reshaping without cartilage grafting or internal stitching was performed on 355 patients with thin skin; 317 were female and 38 were male. The follow-up period ranged from 6 months to several years, with an average of 16 months.
The closed approach was used. Parallel incisions on the alar cartilage have been made and alternate spicules of cartilage have been then excised to reduce the length of the arc of the cartilage and to reshape the tip.
The technique was effective in achieving aesthetic norms.
When dealing with a very thin skin, the pinched or pointed tip may sometimes need a different approach. The use of cartilage crafting or internal stitching for the reshaping of the tip, in those cases, is not obligatory.
在重塑鼻尖过窄和/或过尖时，当皮肤不太薄时，使用软骨移植和内缝合已被证明是一种很好的方法。本文介绍一种鼻尖美学的新技术，并讨论其手术应用。
对355例皮肤薄的患者进行了不使用软骨移植或内缝合的鼻尖重塑；其中女性317例，男性38例。随访时间为6个月至数年，平均16个月。
采用闭合入路。在鼻翼软骨上做平行切口，然后切除交替的软骨小刺，以缩短软骨弧的长度并重塑鼻尖。
该技术有效地达到了美学标准。
在处理非常薄的皮肤时，鼻尖过窄或过尖有时可能需要不同的方法。在这些情况下，使用软骨塑形或内缝合来重塑鼻尖并非必不可少。
