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Epistaxis

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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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Related Experiment Video

Updated: May 6, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Punch rhinoplasty: A complement to rhytidectomy.

M González-Ulloa1

  • 1Dalinde Medical Center, Mexico City, Mexico.

Aesthetic Plastic Surgery
|November 1, 2013
PubMed
Summary

A new rhinopexy technique corrects a drooping nasal tip after rhytidectomy. This simple procedure, using specialized forceps, restores a youthful facial profile by repositioning the nasal tip.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Nasal Aesthetics

Background:

  • Aging can cause the nasal tip to droop, detracting from facial aesthetics even after a successful rhytidectomy (facelift).
  • A youthful facial profile is often compromised by age-related nasal tip ptosis.
  • Addressing nasal tip descent is crucial for comprehensive facial rejuvenation.

Purpose of the Study:

  • To present a straightforward surgical technique for correcting nasal tip ptosis.
  • To offer a solution for improving the nasal profile in conjunction with or independent of rhytidectomy.
  • To provide a method for achieving a true rhinopexy with minimal intervention.

Main Methods:

  • A novel rhinopexy technique is described, utilizing specially designed "punch" forceps.

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  • A small portion of the membranous septum is excised.
  • Suturing along the surgical wound line secures the repositioned nasal tip.
  • Main Results:

    • The technique effectively corrects drooping nasal tips, restoring a more youthful profile.
    • It is suitable for patients without lateral alar cartilage deformation.
    • The procedure is simple, with a short operation time.

    Conclusions:

    • This rhinopexy technique offers a reliable and efficient method for nasal tip rejuvenation.
    • It can be performed under general anesthesia with rhytidectomy or local anesthesia as a standalone procedure.
    • The simplicity and effectiveness make it a valuable addition to facial plastic surgery procedures.