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Rhinoplasty – Nasal Tip Projection

The term ‘rhinoplasty’ is derived from the Greek words ‘rhinos’ which means ‘nose’, and ‘plasticos’ which means ‘to mould’. Rhinoplasty refers to surgery for enhancing the aesthetic appearance of the nose, reconstructing a nose damaged by injury, or improving nasal function. Over the years, rhinoplasty has grown in popularity, with roughly about 4,000 individuals in the UK undergoing nose surgery for cosmetic reasons, annually.

Though nose surgery is generally very safe, complications may occur in some cases, for which a revision rhinoplasty may be advised. One of the most common of such complications is inadequate projection of the nasal tip. This problem usually arises in cases where the large dorsum or hump of a patient was reduced during nose surgery, without the tip being adequately supported by a cartilage graft.  In some cases, the dorsal hump supports the nasal tip. Hence, any decrease in hump size usually results in a droopy nasal tip.

Generally, reduction rhinoplasty can reduce the size of a dorsal hump, adequately enough, though it may not always be able to provide enough nasal tip projection. Additionally, after an ENT surgeon sculpts the lower lateral cartilages, they can expect further loss of projection of the nose tip. In many cases, patients with large dorsal humps undergoing reduction rhinoplasty would require some sort of augmentation, to ensure that their nose does not have an inadequately projected tip.

Inadequately projected nasal tips can usually be prevented with a thorough preoperative assessment, during which the extent of tip projection and septal support is evaluated by the appointed ENT surgeon. During this assessment, x-rays and CT scans may be used to assess the projection of the nasal tip as adequate, inadequate or excessive; and determine how much septal support is available in the nose. Depending on this assessment, an appropriate surgical plan can be formulated. Generally:

  • Patients with inadequate tip projection and good septal support will usually only require onlay cartilage grafts to the nasal tip.
  • Patients with inadequate tip projection and inadequate septal support will usually require columellar struts or umbrella grafts.

Situated in the heart of London, ENT London is a highly reputed ENT clinic that specialises in nose surgery. Led by Professor Ram S Dhillon, the team of experienced ENT surgeons at ENT London are committed to offering the most superior health care available today.

ENT London is one of UK’s leading rhinoplasty UK‘s clinics, and can be contacted on 0207 580 6970.


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