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Parenthesis tip deformity

Synonyms
Cephalic orientation of alar cartilages | Cephalic orientation of lateral cruras | Parenthesis alar cartilages | Parenthesis lateral cruras

Lower lateral cartilages parenthesis deformity

The nose is made up of a fixed and rigid part that is called nasal pyramid, although it rather has the shape of a tent or roof, and a pliable mobile part which is the nasal tip, the alae and its annexes. The nasal tip and the alae are structured by the so called alar or lower lateral horseshoe shaped cartilages with their lateral and medial crura or crus and accessory cartilages, the domes between lateral and medial cruras, the interdomal fibrofatty pad, the caudal or lower septum and the skin of the alae.

Both halves of the nasal tip join with each other in the center of the tip to form a tripod in which the lateral legs are the lateral cruras of the alar or lower lateral cartilages and the central leg the union of both medial cruras of the alar or lower lateral cartilages.

When the lateral cruras of the alar or lower lateral cartilages are oriented too vertical (instead of their canonically normal wide or even close to 90º square angle with the superior septum or nasal midline), having a too narrow angle with the superior septum or nasal midline above them, severely or mildly (all the possible given combinations might be present) a typical deformity called parenthesis tip is present making the tip is prone to look boxy, there are visible ridges at the cephalic upper edge of the inverted cartilages due to overlapping with the middle vault, the alar support is poor leading to nostril collapse and alar retraction, with frequent association with bulbous tip and bifid tip, being the overall nasal look grotesque and artificial, leading to lack of suitable femininity in women and an unsightly look in men.

Treatment of parenthesis alar or lower lateral cartilages has to be customized to each individual situation, being the main pillar the techniques of alar or lower lateral cartilages grafting and repositioning, combining either alar cartilages batten, strut or replacement grafting, lateral cruras eversion, lateral cruras cross location, bridging, tongue in groove maneuver, plasties, plications (shaping sutures through the cartilages), nasal tip grafting, with or without reinforcement of tip support with columellar strut.

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    Nose
    Nose
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    Custom Rhinoplasty
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    Synonyms
    Celebrity Nose Job | Celebrity Rhinoplasty | Complex Nose Job | Complex Rhinoplasty | Custom Nose Job | Ethnic Nose Job | Grafting Nose Job | Grafting Rhinoplasty | Made to Order Nose Job | Made to Order Rhinoplasty | Non Caucasian Nose Job | Non Caucasian Rhinoplasty | Open Structure Nose Job | Open Structure Rhinoplasty | Perfectioning Nose Job | Perfectioning Rhinoplasty | Personalized Nose Job | Personalized Rhinoplasty | Racial Nose Job | Racial Rhinoplasty | Rebuild Nose Job | Rebuild Rhinoplasty | Reconstruction Nose Job | Remedial Nose Job | Remedial Rhinoplasty | Repair Nose Job | Repair Rhinoplasty | Reshaping Nose Job | Reshaping Rhinoplasty | Results Improvement Nose Job | Results Improvement Rhinoplasty | Revision Nose Job | Secondary Nose Job | Secondary Rhinoplasty | Supporting Nose Job | Supporting Rhinoplasty | Tailor Made Nose Job | Tailor Made Rhinoplasty

  DR. ALEJANDRO NOGUEIRA'S PARENTHESIS TIP DEFORMITY CASES PHOTO GALLERY

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  • Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
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