See how a cephalic trim can be used to reduce the roundedness and fullness of the nasal tip.
In Part 1 of a Bulbous Nasal Tip Case Study, Thomas Lamperti, MD, uses a novel, high definition point-of-view camera to narrate an intra-operative video that shows how he performs a cephalic trim in order to improve the appearance of a bulbous nasal tip.
"This is Seattle facial plastic surgeon, Dr. Thomas Lamperti. Today I'm going to show you how to perform a cephalic trim of the lower lateral cartilages in order to treat nasal tip bulbosity. To start I'm first using a caliper to measure how much lower lateral crura I want to maintain. I follow a conservative approach which favors maintaining nasal structural support so I usually leave from 8 to 10 millimeters at the widest point of the crura. In this patient I'm leaving 10 millimeters. As I approach the dome defining points I usually leave from 5 to 7 millimeters. Once the cartilage is incised, I then separate the cartilage from the underlying nasal skin lining or mucosa. I normally store the removed lower lateral crural cartilage in some saline in case I want to use it later in the procedure for grafting. Next, I'll repeat the procedure on the patent's left side. Of course, for symmetry I use the same measurements as I did on the right side. The cephalic trim is one useful step in reducing the fullness of the nasal tip. The main goal in obtaining a aesthetically pleasure tip contour is creating a flattened lower lateral crura. Once the overall volume of the tip is improved with the cephalic trim we can then proceed with further modifying the tip cartilage positioning. In part 2 of this patient's case study I'll show you how to use dome binding sutures to further treat the bulbous nasal tip."
You clearly have honed considerable skill, knowledge and artistry, and take much pride in your work....I'm just so very grateful to have benefited from your amazing work.AA - Seattle, WA View More Patient Testimonials ›