Sameer Bafaqeeh
King Saud University, Saudi Arabia
Keynote: Anaplastology
The ill-defined, droopy tip & high dorsum is one of the most frequent common nasal deformities among our patients which required a careful history and comprehensive nasal analysis to have successful intervention for correcting different degree of nasal ptosis. Considering the tripod theory principles & the assessment of both degree of tip rotation and projection were important in selecting the exact type of surgical techniques. In a retrospective study of 10-years droopy patients who underwent primary Rhinoplasty by one senior consultant (between 2005-2015), their pre & postoperative Photographs and operative records (when applicable) were reviewed to assess the degree of each droopy tip deformity & to evaluate the role of different selected techniques in corrected such deformity. The exact etiology & patient Specific nasal characteristics component found to be excellent gaudiness for selecting surgical techniques & modification to give predictable and reliable outcomes. The external Rhinoplasty approach was performed in all patients because the exposure permits alar cartilage modifications to be performed precisely under direct vision. Our goal in correcting the droopy nasal tip is to eliminate the forces that inferiorly displace the alar cartilages before adopting any alar cartilage modifying technique, and finally increase the tip support mechanisms. A multitude of surgical maneuvers are often necessary to address all the features of the droopy nose and to produce the desired aesthetic long term result. Strong nasal tip columellar strut is very important in all cases to increase the strength & stability of the alar cartilage complex, which essential to a have a good long term result & adjusting optimal nasal tip projection on the operating table.
Sameer Bafaqeeh is Professor and Consultant at the Department of Otolaryngology, and Chairman of Facial Plastic Division. He is the Director of King Saud Facial Plastic Fellowship program & Chairman of Annual International Riyadh Rhinoplasty & Otoplasty Course, at King Saud University.
Email: bafaqeeh@hotmail.com
