A technical refiniment to prevent supratip deformity in aesthetic rhinoplasty:"the trapezoid peak"

Background: The relationship between appropriate caudal
dorsum resection and supratip deformity or inadequate tip
projection currently is clear. Correct quadrangular cartilage
management seems to have a basic role in the final tip
aspect after aesthetic rhinoplasty.
Methods: Primary aesthetic rhinoplasty was performed for
38 Caucasian patients. A septal refinement was used for
patients requiring extra tip support and not requiring
grafts.
Results: The minimum follow-up period was 1 year. No
supratip deformity was noted after surgery. The tip and
midvault had adequate projection.
Conclusions: The described maneuver sustains the alar
cartilage without sutures, preventing supratip deformity,
sustaining soft tissues, and avoiding loss of tip projection.