A new approach for the refinement of the very broad nasal tip

Refining the very broad nasal tip has been difficult to achieve with a single technique. Operations described often violate the domes and may result in visible irregularities and collapse of the ala. Adequate narrowing can be obtained by decreasing the angle between medial and lateral crura of the ala cartilage at the dome and decreasing the overall length of the ala cartilage. This narrowing is achieved predictably by removing a small segment at the lateral most part of the ala cartilage. Scoring of the dome can also be done. We describe the technique in a large series of patients, all of whom have retained their results without undesirable problems.