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A Successful 15-Year Experience in Double-Dome Tip Surgery via Endonasal Approach
Nuances and Pitfalls
Stephen W. Perkins, MD;
Mark M. Hamilton, MD;
Kate McDonald, RN, BSN, AORN, RNFA
Arch Facial Plast Surg. 2001;3:157-164.
Background Endonasal double-dome techniques provide a reliable method to approach
the nasal tip.
Objectives To review one surgeon's 15-year experience using a graduated method
of endonasal double-dome tip surgery including patient selection, intraoperative
techniques, and postoperative complications and to emphasize the nuances to
achieve symmetry and consistent results.
Patients and Methods Three hundred eighty-six patients who had adequate follow-up after undergoing
endonasal double-dome tip rhinoplasty.
Results Results at 1 year showed high rates of supratip (94%), dome (96%), and
nostril (88%) symmetry. There was a high rate of patient satisfaction with
a low rate of revision (7%).
Conclusion Endonasal double-dome tip surgery provides the surgeon the ability to
achieve consistent results with high patient satisfaction and a low rate of
revision.
From the Department of Otolaryngology–Head and Neck Surgery,
Indiana University School of Medicine (Drs Perkins and Hamilton), Indianapolis.
Drs Perkins, Hamilton, and Ms McDonald are also in private practice in Indianapolis.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Quantification of Surgical Changes in Nasal Tip Support
Beaty et al.
Arch Facial Plast Surg 2002;4:82-91.
ABSTRACT
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