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Relationship between tip nasal muscles and the short upper lip
Ewaldo Bolivar de Souza Pinto1
1ewaldo @desouzapinto.com.br
Aesthetic Plastic Surgery
|November 13, 2003
Summary
Dynamic rhinoplasty reshapes the nasal tip and upper lip by accessing the depressor septi nasi muscle. This technique has evolved to treat diverse nasolabial combinations, improving aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
Background:
- The depressor septi nasi muscle significantly influences the nasolabial relationship.
- Traditional rhinoplasty techniques may not fully address dynamic nasolabial deformities.
Purpose of the Study:
- To introduce and detail the dynamic rhinoplasty technique.
- To demonstrate the versatility and expanded indications of dynamic rhinoplasty.
Main Methods:
- Intraoral zetaplasty at the labial frenum for muscle access.
- Subperiosteal undermining and plication of the depressor septi nasi muscle fascicles.
- Integration with other procedures like septoplasty and rhinosculpture.
Main Results:
- Dynamic rhinoplasty effectively modifies the dorsum-tip-labial relationship.
- The technique has evolved from treating specific nose types to a broader range of nasolabial combinations.
- Successful application in cases including mouth-breathers and long upper lips.
Conclusions:
- Dynamic rhinoplasty offers a comprehensive approach to nasolabial aesthetics.
- A semiotic classification aids in surgical indication and technique selection.
- Combined surgical stages optimize results for various nasolabial morphologies.