The nasal tip is made up of cartilage subunits and relies upon the nasal septum for support and projection. Rhinoplasty surgery on the nasal tip is probably the most common type of rhinoplasty performed. The tip defining point is one of the most important aspects of the appearance of the nose and the underlying cartilages can be manipulated and shaped to alter the tip defining point. Nasal tip rhinoplasty oftentimes involves fine sutures to reposition the nasal tip cartilages and sometimes may involve a cartilage graft to enhance the nasal tip. A tip rhinoplasty can be performed as a separate procedure or in conjunction with cosmetic surgery on the nasal dorsum and nasal root.
The nasal dorsum is the ridge that extends from the junction of the forehead to the nasal tip the dorsum consists of the nasal bones at the root and the upper lateral cartilages as well. In this regard, it is part bone and part cartilage. The nasal dorsum may be reduced, augmented or straightened depending upon the anatomy and patient’s desires. Manipulation of the nasal dorsum may involve cutting or breaking the nasal bones to reposition them. Following manipulation of the bones and cartilage, splinting may be required to support the tissues until they have healed in the appropriate position.