Transcript Boxy tip deformity


The boxy tip is defined as a broad ,
rectangular tip as seen on basal view
Goldman
Dome resection to reshaping of nasal tip
 Sheen
Cartilage scoring
Weakness
Notched alar rim, pinched tip ,asymmetry ,
decrease tip projection

Constantian, Mark B in 200 boxy tip
emphasis in lateral crura weakness and
malposition
 Tebbetts, non destructive technique in
all form of boxy tip deformity

Cephalic trim
Resection of lateral crura adding to medial
portion of medial crura

Cartilage suturing
The operative goal :
 reposition the tip definition points

Angulate the domes

Shape lateral crura
Thank you