Facial Plast Surg 2010; 26(2): 119-130
DOI: 10.1055/s-0030-1253498
© Thieme Medical Publishers

The Surgical Approach to the Mediterranean Nose

Armando Boccieri1
  • 1Department of Maxillo-Facial Surgery, S. Camillo Hospital, Rome, Italy
Further Information

Publication History

Publication Date:
04 May 2010 (online)

ABSTRACT

The Mediterranean nose possesses some specific characteristics of the ethnic group in question that can appear unduly accentuated in some cases and reflect a situation of authentic nasal deformity. The problems most frequently encountered consist of a prominent hump and protruding dorsum, a ptotic tip, an acute nasolabial angle, and thick, sebaceous skin. The surgeon in his approach to the Mediterranean nose must be able to recognize these deformities and to resolve them in accordance with the aesthetic canons peculiar to this ethnic group. To this end, this article describes prudent and progressive criteria for selection of the most appropriate techniques to correct the various flaws while seeking to preserve the structures as much as possible. Cartilage grafts can prove very useful with a view to ensuring both excellent results and their stability over time.

REFERENCES

  • 1 Coon C S. Caravan. The Story of the Middle East. New York, NY; Henry Holt and Company 1951: 154-157
  • 2 Gunter J P. Facial analysis for the rhinoplasty patient. Presented at: 17th Annual Dallas Rhinoplasty Symposium March 2–4, 2000 Dallas, TX;
  • 3 Simons R L. Adjunctive measures in rhinoplasty.  Otolaryngol Clin North Am. 1975;  8 717-742
  • 4 Crumley R L, Lanser M. Quantitative analysis of nasal tip projection.  Laryngoscope. 1988;  98 202-208
  • 5 Friedman O, Akcam T, Cook T. Reconstructive rhinoplasty: the 3-dimensional nasal tip.  Arch Facial Plast Surg. 2006;  8 195-201
  • 6 Gunter J P, Friedman R M. Lateral crural strut graft: technique and clinical applications in rhinoplasty.  Plast Reconstr Surg. 1997;  99 943-952 discussion 953-955
  • 7 Toriumi D M. New concepts in nasal tip contouring.  Arch Facial Plast Surg. 2006;  8 156-185
  • 8 Goldman I B. Principles in rhinoplasty.  Minn Med. 1967;  50 833-836
  • 9 Kridel R W, Konior R J. Controlled nasal tip rotation via the lateral crural overlay technique.  Arch Otolaryngol Head Neck Surg. 1991;  117 411-415
  • 10 McCollough E G, English J L. A new twist in nasal tip surgery. An alternative to the Goldman tip for the wide or bulbous lobule.  Arch Otolaryngol. 1985;  111 524-529
  • 11 Kridel R W, Konior R J, Shumrick K A, Wright W K. Advances in nasal tip surgery. The lateral crural steal.  Arch Otolaryngol Head Neck Surg. 1989;  115 1206-1212
  • 12 Peck G C. The onlay graft for nasal tip projection.  Plast Reconstr Surg. 1983;  71 27-39
  • 13 Fomon S, Goldman I B, Neivert H, Schattner A. Management of deformities of the lower cartilaginous vault.  AMA Arch Otolaryngol. 1951;  54 467-472
  • 14 Kridel R W, Scott B A, Foda H M. The tongue-in-groove technique in septorhinoplasty. A 10-year experience.  Arch Facial Plast Surg. 1999;  1 246-256 discussion 257-258
  • 15 Soliemanzadeh P, Kridel R W. Nasal tip overprojection: algorithm of surgical deprojection techniques and introduction of medial crural overlay.  Arch Facial Plast Surg. 2005;  7 374-380
  • 16 Boccieri A, Raimondi G. The lateral crural stairstep technique: a modification of the Kridel lateral crural overlay technique.  Arch Facial Plast Surg. 2008;  10 56-64
  • 17 Sheen J H. Achieving more nasal tip projection by the use of a small autogenous vomer or septal cartilage graft. A preliminary report.  Plast Reconstr Surg. 1975;  56 35-40
  • 18 Cobo R. Mestizo rhinoplasty.  Facial Plast Surg. 2003;  19 257-268
  • 19 Palma P, Bignami M, Delù G, De Bernardi F, Castelnuovo P. Rhinoplasty for the Mediterranean nose.  Facial Plast Surg. 2003;  19 279-294

Armando BoccieriM.D. 

V.le U. Tupini 133

00144 Rome, Italy

Email: armando.boccieri@libero.it

    >