Introduction Pinched nasal point can be arising as congenital malformation or as results of unsuccessfully surgery. The nasal valve alteration due to this problem is not only an esthetic problem but also a functional one because can modify the nasal airflow. Several surgical techniques were proposed in literature, we proposed our. Objective The purpose of the study is the evaluation of nose airway flow using our flip-flap technique for correction of pinched nasal tip. Methods This is a retrospective study conducted on twelve patients. Tip cartilages were remodeled by means of autologous alar cartilage grafting. The patients underwent a rhinomanometry pre and post-surgery to evaluate the results, and they performed a self-survey to evaluate their degree of satisfaction in term of airflow sensation improvement. Results Rhinomanometry showed improved nasal air flow (range from 25% to 75%) in all patients. No significant differences were showed between unilateral and bilateral alar malformation (p = 0.49). Patient's satisfaction reached the 87.5%. Conclusion Our analysis on the combined results (rhinomanometry and surveys) showed that this technique leads to improvement of nasal flow in patients affected by pinched nasal tip in all cases.

This article reviews the case of a 29-year-old woman who underwent revision rhinoplasties. Preoperative photographs and postoperative photographs 1 year after surgery are included.

Abnormalities of the nasal septum subsequent to septorhinoplasty include structural deficits connected with incorrect excision of the cartilaginous portion, the persistence of deviation to varying degrees, and deformity of the supratip region. In the course of revision, the correction of septal anomalies constitutes an indispensable preliminary stage upon which the end result depends. A straight, sturdy, and flexible supporting septal structure is, in fact, an essential prerequisite if satisfactory results are to be obtained. The authors describe some techniques used to achieve this objective and provide guidelines for their selection. The septum is also involved in the repair strategy of revision operations. It constitutes a primary source of material for structural grafts to reconstruct numerous components of the nasal pyramid.

Some candidates for primary rhinoplasty are at greater risk of postoperative complications due to the presence of certain very specific anatomic characteristics. The authors describe their experience with spreader grafts in primary rhinoplasty and provide an analytic method of identifying the types of patient needing such grafts who present a high risk of complications. Sixty patients were treated with spreader grafts during primary rhinoplasty. Bilateral spreader grafts were used in cases of “narrow nose syndrome” (short nasal bones, long and weak upper lateral cartilages, thin skin) and in cases of disproportionate nose with narrow middle vault and bulbous tip. Unilateral spreader grafts were placed on the concave side in cases of crooked nose. After an average follow-up of 17 months, all the patients reported improvement in functional and esthetic problems, with no complications related to the preoperative features.

While a large number of studies have been published on the surgical techniques used to obtain optimal functional and esthetic results in the field of septorhinoplasty, less attention has been devoted to techniques for minimizing postoperative trauma. In this connection, the authors highlight a number of intraoperative methods, such as microosteotomy, extramucosal approach, hemostasis, careful suture placement, and endonasal splints, the use of which has led to an overall improvement in postoperative recovery and swifter attainment of esthetic objectives.