Nasal tip refinement

When considering rhinoplasty the tip is a most important visual structure.
There are 3 main “philosophies” top establishing the new tip and these are as follows:

1. No grafts and suture sculpting: The natural tissue remodelling and not grafts is used to support the nasal tip in a more aesthetic way.

2.Invisible grafts: “These grafts are placed in the substructure of the tip beneath the natural cartilages to add support and shape. These grafts stabilize the natural tip structures but still do not interfere with the skin.”

3.Visible grafts: “These grafts are placed between the skin and the existing alar cartilages. Grafts of this nature create the new, visible shape of the nasal tip while the ‘normal’ anatomy is concealed.”
This technique was popularised by the work Of Dr Jack Sheen Master Rhinoplasty Surgeon.

The clinic utilises all 3 techniques depending on the clinical picture. Where possible I try and maintain a good tip character but where necessary supplement and support tip structure. (PLD)