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A successful 15-year experience in double-dome tip surgery via endonasal approach: nuances and pitfalls
S W Perkins1, M M Hamilton, K McDonald
1Meridian Plastic Surgery Center, 170 W 106th St, Indianapolis, IN 46290, USA. mmackhamilton@aol.com
Background:
Endonasal double-dome techniques provide a reliable method to approach the nasal tip.
Objectives:
To review one surgeon's 15-year experience using a graduated method of endonasal double-dome tip surgery including patient selection, intraoperative techniques, and postoperative complications and to emphasize the nuances to achieve symmetry and consistent results.
Patients And Methods:
Three hundred eighty-six patients who had adequate follow-up after undergoing endonasal double-dome tip rhinoplasty.
Results:
Results at 1 year showed high rates of supratip (94%), dome (96%), and nostril (88%) symmetry. There was a high rate of patient satisfaction with a low rate of revision (7%).
Conclusion:
Endonasal double-dome tip surgery provides the surgeon the ability to achieve consistent results with high patient satisfaction and a low rate of revision.