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A comparative analysis between primary and secondary nasal tip drooping

ENT Journal Jul 18, 2019

Min HJ, et al. - In this investigation involving 50 patients, researchers assessed the effect of oversized one-piece alloplastic implant on nasal tip projection. Nasal tip drooping (decreased nasal tip projection, underprojected nasal tip), one of the most importantly displeasing disharmonies to correct, was categorized as primary (group 1: no rhinoplasty or trauma history) and secondary (group 2: previous history of augmentation rhinoplasty with one-piece alloplastic materials), and retrospectively contrasted the features of primary and secondary nasal tip drooping on the basis of pre- and postoperative rhinological parameters (nasolabial angle, rotation angle, nasofrontal angle, and Goode ratio). Findings suggested that inserting one-piece alloplastic implants from the nasal tip glabella to the nasal tip dome can lead to drooping of the secondary nasal tip. The degree of nasal tip projection recovery varies between 2 groups and can be achieved through more sensitive surgical methods. Based on the results, the authors recommended that in primary and secondary nasal tip drooping, distinct correction methods should be considered.
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