Stephy Publishers

  Modern Research in Plastic and Reconstructive Surgery - (MRPRS)| Stephy Publishers Postoperative dropping of the nasal tip after rhinoplasty is a known complication.1 Defining the position of the nasal tip begins with stabilizing the nasal base.2 To define the position of the nasal tip and stabilize the nasal base of the nose, the surgeon has three main options: tongue-in-groove maneuver,3 caudal septal extension graft, or columellar strut.4,5   Significant loss of rotation is expected during the first year and surgeons need to over-correct tip rotation to compensate for this loss. In a recent study, Antunes and Quatela6 identified patients who were submitted to a rhinoplasty with a tong-in-groove maneuver over a period of 1 year, and demonstrated an average reduction in the nasolabial angle of 6.8%, estimating that for each degree of rotation changed at surgery, the patient will have a loss of 0.35 degrees over the first year.   Despite the routine use of techn...