Graduated sculpture refinement of the nasal tip

Because of the complexity and variety of tip deformities encountered by the rhinoplasty surgeon,no single stylized approach or technique will suffice to satisfactorily correct the myriad anatomic configurations that present [21]. Thus, a graduated anatomic approach to nasal tip surgery is recommended, which equips the surgeon to correct more modest deformities with conservative approaches and techniques,reserving more aggressive approaches and techniques for more profoundly abnormal tip deformities. Pre-serving an undivided, complete residual strip in the majority of patients is entirely possible and eminently desirable for the control of long-term healing. Mastering a wide variety of tip sculpture techniques,employed as dictated by the presenting anatomy [22],equips the surgeon with the tools to correct the astonishing variety of nasal tip deformities encountered.