Boxy tip deformityBabak Saedi

Assistant professor of Tehran university Imam Khomainey hospital

Definition

The boxy tip is defined as a broad , rectangular tip as seen on basal view

Rhodrich & Adams :Three types

Traditional approach

Goldman Dome resection to reshaping of nasal tip Sheen Cartilage scoringWeaknessNotched alar rim, pinched tip ,asymmetry

, decrease tip projection

Constantian, Mark B in 200 boxy tip emphasis in lateral crura weakness and malposition

Tebbetts, non destructive technique in all form of boxy tip deformity

Preferred technique

Cephalic trimResection of lateral crura adding to

medial portion of medial crura

Cartilage suturing

Final goal

The operative goal : reposition the tip definition points

Angulate the domes

Shape lateral crura

Type I & III

Type II

Type I & III

Type II

Type III and thick skin

Thank you