Related Experiment Video
Updated: Apr 25, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
The pull-up spreader high (PUSH) technique for nasal tip support
Dario Bertossi1, Claus Walter2, Pier Francesco Nocini2
1Dr Bertossi is an Associate Professor and Dr Nocini is the Chief of the Department of Surgery, Chief of the section of Maxillo Facial Surgery at the University of Verona in ItalyDr Walter is retired from private practice in facial plastic surgery in St Galle and Heiden, Switzerland dario.bertossi@univr.it.
Background:
Nasal tip depression is associated with nasal valve collapse. The pull-up spreader high (PUSH) technique was developed to enlarge the nasal dorsum and upwardly rotate and define the nasal tip by lifting the domes.
Objectives:
The authors reviewed a case series to assess the long-term effectiveness of the PUSH technique in improving nasal airflow and aesthetic outcomes.
Methods:
This retrospective study included 50 consecutive cases of PUSH rhinoplasty. Objective (acoustic rhinomanometry) and subjective (patient questionnaire) evaluations of the stability of the aesthetic result and improvement of airflow were conducted before and 3 years after PUSH rhinoplasty.
Results:
PUSH rhinoplasty resulted in long-term stability of the aesthetic effect. All patients had pleasing aesthetic results and a general improvement in the nasal airway. When the degree of nasal obstruction was scored from 1 (greatest obstruction) to 10 (least obstruction), 22 patients rated their nasal function improved to a score of 10 and 28 patients to a score of 8. Rhinomanometry indicated that only 1 patient had worsened nasal airflow.
Conclusions:
The PUSH technique enables stable upward rotation and improved definition of the severely depressed nasal tip through an open approach.
Level Of Evidence:
4.
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