Journal archive · Nasal tip · Ethnic, Asian, Middle Eastern, African and Latino rhinoplasty · 2012
Nuances with the mestizo tip
Cobo R.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on latino rhinoplasty.
From the abstract
“Mestizo nasal tips are a challenge. A gradual approach is presented, emphasizing minimal tissue resection, reinforcement of support structures of the nasal tip, and use of sutures and grafts in a judicious manner. The final result should be tips with improved definition, rotation, and…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Nasal tip
Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.
Ethnic, Asian, Middle Eastern, African and Latino rhinoplasty
The nose in front of the surgeon decides the operation, not the patient's ancestry: skin thickness, cartilage strength and existing dorsal height set the limits of what any technique can deliver, and planning every nose toward one Caucasian ideal is the error the comparative data now names.
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