Lateral Domal Translocation and Medial Crural Transection: A Reliable Method for Nasal Tip Deprojection

Area of Science:

• Plastic Surgery
• Facial Aesthetic Surgery
• Rhinoplasty Techniques

Background:

• Nasal tip deprojection is a frequent objective in rhinoplasty.
• Existing methods often involve destructive approaches, potentially compromising the lateral crura's integrity and morphology.

Purpose of the Study:

• To introduce and describe a rhinoplasty technique for nasal tip deprojection.
• To achieve nasal tip deprojection while preserving the structural integrity of the lateral crura.

Main Methods:

• Lateral translocation of the domes and shortening of the medial crura.
• Recreation of the domes lateral to the intrinsic domes using transdomal sutures.
• Management of excess medial and middle crura length via transection and shortening.

Main Results:

• Successful nasal tip deprojection without compromising lateral crura integrity.
• Preservation of the nasal base morphology.
• No alteration in the position of the medial crural footplates.
• Achieved deprojection of 4 to 5 mm.

Conclusions:

• This technique offers an effective method for nasal tip deprojection in rhinoplasty.
• It avoids destructive maneuvers, maintaining the nasal structure's intrinsic integrity.
• The described approach preserves nasal base aesthetics and anatomical relationships.