Related Experiment Video
Updated: Jul 17, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
A technical refinement to prevent supratip deformity in aesthetic rhinoplasty: "the trapezoid peak"
G V Campus1, F Farace, C Rubino
1Plastic Surgery-Burn Unit Department, University of Sassari, Sassari, Italy.
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.
