Kridel R W, Konior R J
Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center, Houston.
Ann Plast Surg. 1990 May;24(5):385-96. doi: 10.1097/00000637-199005000-00001.
The nasal tip highlights the facial profile, and in its most aesthetic configuration subtly projects anterior to the dorsum to create a soft supratip break. Overprojection of the tip in relation to the vertical facial plane and the nasal dorsum represents one variant of nasal-facial disproportion that can adversely affect an otherwise pleasant facial appearance. Several strategies for reducing either the lateral or the medial crus to deproject the tip have been suggested. This article describes a method of direct truncation of the dome using an external rhinoplasty approach that can reliably produce tip retrodisplacement while maintaining, or enhancing, tip rotation. Tip definition and projection are optimized by precise, direct reduction of the overprojected dome region and accurate sculpting and realignment of the remaining crural units. When the tip is retrodisplaced, alar flaring can occur; therefore, alar base reduction can substantially enhance the final outcome.
鼻尖突出面部轮廓，在其最具美学形态时，微妙地向前突出于鼻背，形成柔和的鼻尖上区转折。鼻尖相对于垂直面部平面和鼻背过度突出是鼻面比例失调的一种表现，会对原本美观的面部外观产生不利影响。有人提出了几种减少外侧或内侧脚以降低鼻尖高度的策略。本文介绍一种采用鼻外整形术直接截断鼻尖穹隆的方法，该方法能可靠地使鼻尖后移，同时保持或增强鼻尖旋转度。通过精确、直接地减少过度突出的穹隆区域，以及对剩余脚单位进行精确塑形和重新排列，可优化鼻尖的清晰度和突出度。当鼻尖后移时，可能会出现鼻翼外扩；因此，鼻翼基底缩小可显著提升最终效果。
