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Updated: Dec 2, 2025

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Nasal Tip Deformities After Primary Rhinoplasty.

Paul Bermudez1, Faisal A Quereshy1

  • 1Department of Oral and Maxillofacial Surgery, Case Western Reserve University, 9601 Chester Avenue, Cleveland, OH 44106, USA.

Oral and Maxillofacial Surgery Clinics of North America
|November 6, 2020
PubMed
Summary

Nasal tip deformities like bossae and ischemia can occur after rhinoplasty. Early recognition and intervention are key to minimizing these common and upsetting complications.

Keywords:
BossaeComplicationsIschemicNasal tipOverresectedPinchedPollybeakRhinoplasty

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Area of Science:

  • Plastic Surgery
  • Facial Plastic Surgery
  • Otolaryngology

Background:

  • Primary rhinoplasty can result in nasal tip deformities.
  • These deformities include bossae, pinched nasal tips, and nasal tip ischemia.
  • Even minor deformities significantly impact patient satisfaction due to the nose's central facial location.

Purpose of the Study:

  • To highlight the occurrence and significance of nasal tip deformities post-rhinoplasty.
  • To emphasize the importance of prevention, early detection, and intervention for managing complications.
  • To underscore the role of patient communication and follow-up in managing outcomes.

Main Methods:

  • Review of common nasal tip deformities following primary rhinoplasty.
  • Discussion of the clinical presentation and patient impact of these deformities.
  • Outline of management strategies including prevention, early recognition, and intervention.

Main Results:

  • Nasal tip deformities, ranging from minor bossae to severe ischemia, are potential outcomes of rhinoplasty.
  • Patient distress is associated with both minor and major visible nasal tip deformities.
  • Effective management hinges on proactive measures and timely intervention.

Conclusions:

  • Prevention and early identification of nasal tip deformities after rhinoplasty are crucial.
  • Prompt intervention, tailored to the specific complication, can mitigate negative outcomes.
  • Consistent patient communication and follow-up are essential for managing post-rhinoplasty nasal tip deformities.