Surgical correction of "rhinoplastic look"

A pointed, narrow and exaggeratedly upturned nasal tip and concave dorsal profile can give the nose an unnatural and artificial appearance that is the unmistakable hallmark of plastic surgery. As a result of changes in social attitudes, noses that have evidently been operated on are no longer acceptable and requests are made for correction. While a more natural dorsal profile can be obtained with camouflage grafts of autologous cartilage or alloplastic material (EPTFE), autologous grafts alone are used to reconstruct the tip. The most complex correction regards an obtuse nasolabial angle, for which the extension graft technique is used. Particular care must be taken during preoperative planning, where the aid of computer simulation and agreement with the patient are essential.