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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.

Aesthetic Surgery Journal
|August 15, 2014
PubMed
Summary
This summary is machine-generated.

The Pull-Up Spreader High (PUSH) technique provides stable, long-term aesthetic improvement and enhanced nasal airflow for patients with nasal tip depression. This rhinoplasty method effectively addresses nasal obstruction and improves tip definition.

Keywords:
nasal autospreadersnasal surgerynasal tippull-up spreader high

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Area of Science:

  • Plastic Surgery
  • Rhinology
  • Facial Aesthetics

Background:

  • Nasal tip depression is frequently linked to nasal valve collapse.
  • The Pull-Up Spreader High (PUSH) technique aims to augment the nasal dorsum, elevate, and define the nasal tip by lifting the domes.

Purpose of the Study:

  • To evaluate the long-term efficacy of the PUSH technique in improving nasal airflow and aesthetic outcomes.
  • Assessing the stability of results after PUSH rhinoplasty.

Main Methods:

  • Retrospective analysis of 50 consecutive PUSH rhinoplasty cases.
  • Objective assessment using acoustic rhinomanometry.
  • Subjective evaluation via patient questionnaires regarding aesthetics and airflow.

Main Results:

  • Long-term stability of aesthetic results was observed.
  • All patients reported pleasing aesthetic outcomes and improved nasal airway function.
  • 22 patients rated nasal function improvement to 10/10, 28 to 8/10; only 1 patient experienced worsened airflow.

Conclusions:

  • The PUSH technique offers a stable method for upward rotation and improved definition of depressed nasal tips.
  • This open-approach rhinoplasty technique effectively enhances both nasal aesthetics and function.