In emphasizing changes in the nasal tip, the rhinoplastic surgeon often neglects modifications that should be made in other aspects of the profile. Techniques that advance, retrodisplace, and inferiorly or superiorly displace the nasofrontal angle are discussed, calling attention to this part of the profile. Nasofrontal angle modifications can (1) eliminate certain hazards of tip changing alone, (2) make possible effects that cannot be achieved with tip positioning alone, and (3) make rhinoplasty more predictable in certain cases.
Get full access to this article
View all access options for this article.
References
1.
WebsterRCWhiteMFCourtissEH: Intact alar rim combined with high septal transfixion in rhinoplasty—20 year experience. Int Microform J Aesth-Plast Surg1972E: 1–60, 1972.
2.
WebsterRCWhiteMFCourtissEH: Nasal tip correction in rhinoplastyPlast Reconstr Surg51: 384–396, 1973.
3.
WebsterRCSmithRCDmytryshynJR: Rhinoplastic techniques demonstrated in black cadaver-Part I. Aesth Reconstr Facial Plast Surg2: 1–168, 1975.
4.
WebsterRCSmithRCDmytryshynJR: Rhinoplastic techniques demonstrated in black cadaver-Part II. Aesth Reconstr Facial Plast Surg2: 169–336, 1975.
5.
WebsterRC: Intact rim cartilage techniques and the tip-columella-lip esthetic complex. Otolaryngol Clin North Am8: 615–644, 1975.
6.
WebsterRC: Revisional rhinoplasty. Otolaryngol Clin North Am8: 753–782, 1975.
7.
WebsterRCSmithRCDavidsonTM: Atlas of tip rhinoplasty techniques demonstrated on teaching model. Aesth Reconstr Facial Plast Surg3: 1–240, 1976.
8.
WebsterRCDavidsonTMRubinFF: Recording projection of nasal landmarks in rhinoplasty. Laryngoscope87: 1207–1211, 1977.
9.
WebsterRCDavidsonTMSmithRC: Curved lateral osteotomy for airway protection in rhinoplasty. Arch Otolaryngol103: 454–458, 1977.
10.
WebsterRCDavidsonTMRubinFF: Nasal tip projection changes related to cheeks and lip. Arch Otolaryngol104: 16–21, 1978.
11.
WebsterRCSmithRC: Lateral crural retrodisplacement for superior rotation of the tip in rhinoplasty. Aesth Plast Surg, to be published.
12.
WebsterRC: Cosmetic problems involving the nose, in BluestoneCDStoolSE, (eds): Pediatric Otolaryngology. Philadelphia, WB Saunders Co, to be published.
13.
WebsterRCSmithRC: Long-term results in rhinoplasty, in GoldwynRM, (ed): Long-term Results in Plastic and Reconstructive Surgery. Boston, Little Brown & Co, to be published.
14.
WebsterRCDavidsonTMSmithRC: Browplasty as an adjunct in rhinoplasty. Head Neck Surg, to be published.
15.
WebsterRCDavidsonTMSmithRC: External marking in rhinoplasty planning. Laryngoscope87: 126–133, 1977.
16.
RubinFF: Two new instruments for rhino-plastic surgery. Arch Otolaryngol85: 142–144, 1967.