Descripción:
The author uses resection of the posterior septal angle and nasal spine for downward tip rotation in cases of obtuse nasolabial angle and a short upper lip [1-5]. It could be an independent procedure or part of T-excision, or other type of primary or secondary rhinoplasty. This excision is easy to perform, prolonging the retro-columellar incision downward. A 2-3 mm excision of the length of the caudal septum in the part of the posterior septal angle, (incl. the spina nasalis anterior) may be enough to shorten the length of the nasal pyramid at its base and adapt the long pyramid to the aesthetic middle third of the face. This is helpful, especially in women with delicate faces and unproportional noses. This procedure is mini-invasive, nearly bloodless, does not require tampons, bandages. There is almost no downtime
