Boxy tip deformity

The boxy tip is defined as a broad ,
rectangular tip as seen on basal view
Dome resection to reshaping of nasal tip
 Sheen
Cartilage scoring
Notched alar rim, pinched tip ,asymmetry ,
decrease tip projection
Constantian, Mark B in 200 boxy tip
emphasis in lateral crura weakness and
 Tebbetts, non destructive technique in
all form of boxy tip deformity
Cephalic trim
Resection of lateral crura adding to medial
portion of medial crura
Cartilage suturing
The operative goal :
 reposition the tip definition points
Angulate the domes
Shape lateral crura
Thank you

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