Reduction of excessive nasal tip projection with a modified Lipsett technique

Management of the excessively projecting tip is one of the difficult problems in rhinoplasty. Several methods have been offered as solutions to this problem, but none has gained wide acceptance. The technique described by Lipsett allows reliable reduction of tip projection without sacrifice of the normal anatomical configuration of the lower lateral cartilages vital to preservation of a natural tip contour. This technique is described and several modifications that have enhanced its usefulness are discussed.