Nasal Aesthetic (Tip Projection & Rotation)

Abstract: Understanding factors that may impair tip support as well as surgical methods impacting the tripod complex requires a solid understanding of major and minor tip support systems. The lower part of the nose is specifically mentioned in relation to the idea of the nasal tripod complex. The right and left lateral crus serve as the second and third legs of the tripod, with the conjoined medial crura serving as the first leg. The tripod's highest point is the nasal tip. The complex rests on the anterior nasal spine and is supported by lateral soft tissue attachments to the sesamoid cartilages, upper lateral cartilages, and nasal pyramid, as well as by midline attachments to the caudal septum. Successful tip augmentation should center on maintaining the integrity and appearance of the nasal tripod complex. More recently, rhinoplasty surgeons traditional “nasal tripod” and include its use and augmentation as critical components of successful nasal tip surgery