Cupuloplasty for Mestizo Nose

Volume 1 - Issue 3

Enrique Hernandez Vidal¹*, Juan Eugenio Salas Galicia¹ and Enrique Hernandez Del Moral²

Received: December 05, 2018;   Published: December 17, 2018

DOI: 10.32474/SJO.2018.01.000115

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Abstract

Background: The rhinoplasty techniques which are described by most authors are applied on leptorrhine-type noses and have some or no success at all in platyrrhine- and mesorrhine-type noses (Mestizo nose) as for the former reduction and removal techniques are used; whereas, in the latter, increase and elevation techniques are used. Objective. To provide an alternate surgical solution which offers proper results in patients with mesorrhine- or platyrrhine-type nose.

Materials and methods: Pre- and post-operative photographic records of 200 patients were utilized in this investigation. The same surgical technique was used in all cases, with variations related to the size and severity of the case.

Results: In a case in which no cardinal points were set, some loss of the nasal tip and the natural luminous points in it, as well as some upper depression of lateral crura, were noted. In a case in which no anterior elongated trapezoidal graft was placed, there was no adequate definition of the nasal tip in the natural form of its characteristic double fold.

Conclusion: Using this technique can help to define, thin, project and turn the nasal tip, give the height as desired, and lift the nasal dorsum when required. This is a highly accessible technique to lift the dorsum through osteo-cartilaginous or cartilaginous grafts with the anterior support (nasal tip) strengthened. This technique also works to increase the strength of tissue by providing an excellent structural support to the axis columella-alar-nose tip, without any elasticity or movement loss since the grafts are sufficiently thin.

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