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Modified Vertical Dome Division Without Delivery of the Lateral Crus
Arch Facial Plast Surg. 2002;4:198-199.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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THE GOLDMAN tip is a well-established procedure in the rhinoplasty literature.
A variation of this technique has proved useful in more than 120 cases. This
procedure, as described below, is a vertical dome division with a strut and
without lateral crus delivery. By avoiding the marginal incision and keeping
the rim intact, potential problems such as notching, dimpling, retraction,
or asymmetries are avoided. Some indications for the technique include (1)
tip underprojection; (2) short columella; (3) mild-tip bulbousity; (4) revision
case, when lateral crus delivery may be technically difficult; and (5) congenital
preexisting mild alar pinching and dimpling. In these situations, alar delivery
will cause more deformity.
The technique is described as follows:
- Marginal columella incision is made from the mid-columella
and up to the level of the external soft triangle at junction of intermediate
to lateral crura. There is not marginal incision along the caudal margin of
the lateral . . . [Full Text of this Article]
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