the boxy tip is defined as a broad, rectangular tip as seen on basal view
TRANSCRIPT
Boxy tip deformityBabak Saedi
Assistant professor of Tehran university Imam Khomainey hospital
Definition
The boxy tip is defined as a broad , rectangular tip as seen on basal view
Rhodrich & Adams :Three types
Traditional approach
Goldman Dome resection to reshaping of nasal tip Sheen Cartilage scoringWeaknessNotched alar rim, pinched tip ,asymmetry
, decrease tip projection
Constantian, Mark B in 200 boxy tip emphasis in lateral crura weakness and malposition
Tebbetts, non destructive technique in all form of boxy tip deformity
Preferred technique
Cephalic trimResection of lateral crura adding to
medial portion of medial crura
Cartilage suturing
Final goal
The operative goal : reposition the tip definition points
Angulate the domes
Shape lateral crura
Type I & III
Type II
Type I & III
Type II
Type III and thick skin
Thank you