{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:34:56Z","timestamp":1784043296971,"version":"3.55.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"16","license":[{"start":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T00:00:00Z","timestamp":1710374400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T00:00:00Z","timestamp":1710374400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007329","name":"University of the Valley","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007329","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This study introduces and assesses the outcomes of a novel rhinoplasty technique, TRICK-TIP (Transcolumellar and Inter Cartilaginous Keystoning with Tip preservation), employing a combined open and closed approach with tip anatomy conservation and structured tip support.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The procedure involves a low stairstep columellar sectioning, followed by transmembranous and intercartilaginous incisions without skin dissection in the columella or tip. Elevating the entire mobile nose as a three-layered flap provides extensive access to the entire nasal pyramid and septum. Tip modifications, including retrograde cephalic cartilage resection and supratip skin thinning, are performed based on individual cases. A key columellar strut is frequently used, initially sutured in the interdomal space and then turned down for height adjustment and final fixation. Interdomal sutures, supratip sutures, and alar resection are implemented as needed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>One hundred twenty patients participated, with high satisfaction and a low frequency of adverse effects reported using four FACE-Q\u2122 questionnaires. One hundred and two independent raters evaluated pre and postoperative photographs, scoring \u201coverall nose result\u201d as 3.6 out of 5, with minimal or absent nostril deformities (1.84), soft triangle deformities (1.73), and columellar external scar deformity\/visibility (1.35) where 1 is the absence of the deformity and 5 is disfigurement. Complications were absent, and revisions were infrequent.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The combined benefits of the wide-open approach, shortened surgery duration, and nasal tip preservation contribute to outcome optimization. TRICK-TIP rhinoplasty is characterized by simplicity, enabling targeted modifications, preventing soft triangle and rim complications, and facilitating essential tip support while maintaining favorable results.<\/jats:p>\n                <jats:p><jats:italic>Level of Evidence V<\/jats:italic> This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.springer.com\/00266\">www.springer.com\/00266<\/jats:ext-link>.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00266-024-03901-w","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T16:02:35Z","timestamp":1710432155000},"page":"3098-3108","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The TRICK-TIP Rhinoplasty: Tip of the Nose Preservation Using the Combined Synergy of Open and Closed Approaches"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3883-2713","authenticated-orcid":false,"given":"Francisco","family":"Villegas-Alzate","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,14]]},"reference":[{"key":"3901_CR1","doi-asserted-by":"crossref","unstructured":"Gillies H (1920) Plastic surgery of the face. H Frowde, Hodder and Stoughton, London. Available on internet https:\/\/ia600902.us.archive.org\/29\/items\/plasticsurgeryof00gilluoft\/plasticsurgeryof00gilluoft.pdf. Accessed 28 June 2023","DOI":"10.1097\/00000658-192012000-00015"},{"key":"3901_CR2","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/S0094-1298(20)31466-8","volume":"15","author":"M Gorney","year":"1988","unstructured":"Gorney M (1988) Rehabilitation for the post-cleft nasolabial stigma. Clin Plast Surg 15:73\u201382","journal-title":"Clin Plast Surg"},{"issue":"3","key":"3901_CR3","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1097\/00006534-194805000-00011","volume":"3","author":"A R\u00e9thi","year":"1948","unstructured":"R\u00e9thi A (1948) Right and wrong in rhinoplastic operations. 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