Treatment of Hyperdynamic Nasal Tip Ptosis in Open Rhinoplasty: Using the Anatomic Relationship Between the Depressor Septi Nasi Muscle and the Dermocartilaginous Ligament

Tellioglu A. T., Inozu E., Ozakpinar R., Eryilmaz T., ESMER A. F., ŞEN ESMER T., ...More

AESTHETIC PLASTIC SURGERY, vol.36, no.4, pp.819-826, 2012 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 4
  • Publication Date: 2012
  • Doi Number: 10.1007/s00266-012-9893-2
  • Journal Name: AESTHETIC PLASTIC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.819-826
  • Keywords: Depressor septi muscle, Dermocartilaginous ligament, Open rhinoplasty, CLINICAL-APPLICATION, SMILING DEFORMITY, PART
  • Ankara University Affiliated: Yes

Abstract

Background Smiling causes a deformity in some rhinoplasty patients that includes drooping of the nasal tip, elevation and shortening of the upper lip, and increased maxillary gingival show. The depressor septi muscle leads this deformity. The dermocartilaginous ligament originates from the fascia of the upper third of the nose and extends down to the medial crus, merging into the depressor septi muscle.