Descripción:
Authors “T-excision” for nasal tip rotation is used to reduce long noses as an independent procedure or as a part of primary or secondary rhinoplasties. It consists of “en bloc” excision of the cephalic part of the greater alar cartilages and elongated caudal septum, using: 1. total retrocolumellar incision, prolonged in transcartilaginous incisions, through opposite nostrils, leaving only skin intact; 2. septal incision, perpendicular to dorsum to form correct dorsum length, prolonged into intercartilaginous incisions, through opposite nostrils, leaving only skin intact. Thus, the cephalic strip resection is done en bloc with the unnecessary excessive and prolonged septum and soft tissue. Two, three mattress transmucosal septo-columellar sutures for 2-3 weeks are enough to support healing. The T-excision technique is mini invasive, nearly bloodless, and time saving. It is safe, well tolerated by patients, there is no pain after surgery, no need of plaster, tampons and bandages. Patients can return next day to social life and work.
