The Boxy or Trapezoidal Tip Rhinoplasty
Ideally the nasal tip when viewed from the base view forms a equilateral triangle. In some patients with a bulbous nasal tip the nasal cartilage are quite broad. This results in what is called a boxy or trapezoidal tip. The schematic below illustrates this type of cartilage arrangement.
Tip narrowing techniques to improve this boxiness can include cephalic trimming of the lower lateral cartilages, removal of soft tissue from between the tip cartilages, and placement of an interdomal suture to bring the nasal tip defining points (domes) closure together. Also, techniques used to flatten overly convex lower lateral cartilages can also help to narrow a broad nasal tip. The schematic below shows a more ideally situated dome complex:
Before and After Boxy Tip Rhinoplasty Example Photos
Below are a few before and after base photos of patients who had their boxy tips improved with rhinoplasty:
Meet Plastic Surgeon, Dr. Lamperti
Dr. Lamperti, a Seattle rhinoplasty super-specialist, has devoted his career to treatments of the head, face and neck. He feels that by focusing his plastic surgery endeavors solely to the face he is best able to provide the excellent results his patients desire.