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Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Updated: May 27, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Primary nasal tip surgery: a conservative approach.

Marco Klinger1, Fabio Caviggioli, Davide Forcellini

  • 1U.O. Chirurgia Plastica 2, Dipartimento di Medicina Traslazionale, Università degli Studi di Milano, IRCCS Istituto Clinico Humanitas, Via A. Manzoni 56, 20089, Rozzano, Milano, Italy. marco.klinger@humanitas.it

Aesthetic Plastic Surgery
|November 16, 2011
PubMed
Summary

This study presents a new surgical technique for rhinoplasty to improve nasal tip definition and projection. The method proved safe and effective for common nasal tip irregularities, enhancing both aesthetics and patient satisfaction.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Aesthetic Surgery

Background:

  • Rhinoplasty and rhinoseptoplasty are critical surgical procedures due to the nose's aesthetic and functional importance.
  • Common nasal tip issues include bulbosity, plunging, and lack of definition, often requiring refinement.
  • Tip modification is frequently necessary to achieve desired facial harmony and breathing function.

Purpose of the Study:

  • To evaluate a novel surgical technique for improving nasal tip projection and definition.
  • To assess the efficacy of a transcartilaginous approach with specific cartilage manipulation for nasal tip correction.
  • To quantify improvements in nasal tip symmetry, nostril symmetry, projection, and overall appearance.

Main Methods:

  • A cohort of 97 patients underwent a personalized surgical technique involving a transcartilaginous approach and retrograde undermining.
  • Key parameters evaluated included nasal tip symmetry, nostril symmetry, tip projection, tip definition, and overall nasal tip appearance.
  • Pre- and postoperative assessments used a visual analog scale, with a mean follow-up of 1 year.

Main Results:

  • Significant improvements were observed in tip definition (mean score 7.9±2.4) and overall nasal tip appearance (mean score 6.5±3.1) at 1-year follow-up.
  • Patients reported notable enhancements in nasal tip symmetry (mean score 4.2±3.2), nostril symmetry (mean score 4.5±4.1), and tip projection (mean score 5.8±2.9).

Conclusions:

  • The described surgical technique is simple, safe, and effective for correcting mild bulbous, plunging, undefined, and hypoprojected nasal tips.
  • This approach offers a viable solution for common nasal tip deformities, leading to improved aesthetic outcomes.
  • The technique successfully addresses functional and aesthetic concerns related to nasal tip irregularities.