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George L. Murrell, MD

Arch Facial Plast Surg. 2007;9(2):141-142.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I wish to comment on the recent article by Wise et al.¹ The authors of this article present their experience with a technique involving division of the medial leg of the nasal tip tripod, with subsequent overlapping of the edges. This technique, intermediate crural overlay (ICO), was used in 11 cases. In these cases, the preoperative and postoperative nasolabial angles were measured by an observer who was blinded to the study objectives. It is stated that nasal tip deprojection was achieved in all patients, although no objective measurements are reported. Counterrotation of the nasal tip, ranging from 1° to 4°, was noted in 3 of the 11 cases. This is what would be predicted by the tripod concept.² In 7 of the 11 cases, however, nasal tip rotation increased, in 1 case by 9°. No anatomic explanation is given for this finding. The thesis of the . . . [Full Text of this Article]

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