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Tip bossae

Synonyms
Misshapen tip | Tip bossing | Tip buckling | Tip knuckling

Nasal tip bossing and buckling 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.

Nasal tip bossing irregularities can be due to different causes which might coexist in one particular case, however the majority are post surgical situations; poorly planned, designed and placed tip grafts, damages, random sections, flipping and nonsensical transections on the dome cartilages, skin damage at the tip, fillers and finally, as a congenital cause, the severe asymmetry of nasal domes, their inversion or differential medial cruras support may also produce a tip bossing deformity, aggravated in cases with thin skin cover at the tip.

Treatment of nasal tip bossae has to be customized to each individual situation, under direct visualization by means of open rhinoplasty approach, addressing each and every of the problems underlying this heterogeneous group of deformities, all of them treated with structure rhinoplasty procedures with massive grafting and plasties to repair issues and reshape the nasal tip and its annexes.

  TECHNICALITIES

  • AREAS

    Nose
    Nose
  • TREATMENTS

    Custom Rhinoplasty
    Ethnic Rhinoplasty
    Reconstruction Rhinoplasty
    Revision Rhinoplasty
    Structure Rhinoplasty
    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 TIP BOSSAE CASES PHOTO GALLERY

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  • Medicine and Surgery are not exact sciences, therefore it is not possible to foretell the most likely evolution neither establish the most suitable management for each individual case until the moment the physicians can preoperatively evaluate the patient and receive feedback about the postoperative.
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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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