Surgery of the nasal tip.

One of the most challenging aspects of cosmetic rhinoplasty is nasal tip refinement. In efforts to control tip rotation, projection and architecture, surgeons face constant tradeoffs between tip position and dorsal reduction. Open structure rhinoplasty allows direct visualization of bony-cartilaginous deformities, preservation of nasal structural integrity and precise nasal tip alteration. The open rhinoplasty technique involves, control of tip projection and rotation, reshaping of nasal tip cartilage, minimal resection of the nasal dorsum and lower lateral cartilage and preservation or reinforcement of major tip supports. The advantage of open structure rhinoplasty includes preservation of inherent nasal supporting elements and precise nasal reshaping which are essential for aesthetically pleasing and predictable postoperative results.