Handling the nasal tip through the “smart domes” technique.

Abstract

The purpose of this article is to describe step by step my own technique to work nasal tip in any type of rhinoplasty, technique I have called “THE SMART DOMES”. I think is a versatile and powerful tool to solve the most important details of rotation, projection,  definition  and  support  of  the  nasal  tip. This  technique  through  open rhinoplasty, allows  to work comfortably  all sub-regions of the nasal tip, and correct the  most  deformities  and  pathologies  associated  with  noses  that  are  operated  in  our  environment,  such  as  hanging  columella,  overprojected  nose,  ptotic  tip,  nose  tip with little definition, etc. This article will be very useful for ENT and plastic surgeons interested in the subject, as it is an easily reproducible technique and the results obtained are quite satisfactory and consistent through time.