{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T23:03:17Z","timestamp":1779750197383,"version":"3.53.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"Abstract<\/jats:title>\n Revision or secondary rhinoplasty involving the nasal tip is challenging due to distorted anatomy, scarring, and compromised tip support. This article presents a framework for surgical approach and decision-making in secondary rhinoplasty.<\/jats:p>\n Contemporary principles emphasize stability, conservative cartilage handling, and restoring native architecture.<\/jats:p>\n The nasal tip depends on the soft-tissue envelope and lower lateral crura, whose relationship with the septum determines projection, rotation, and contour.<\/jats:p>\n High-resolution photography, endoscopy, and improved grafting materials enhance the diagnosis and correction of nasal tip deformities.<\/jats:p>\n Optimal patients should undergo in-depth assessment with special attention to skin thickness, previous complications, and unrealistic expectations.<\/jats:p>\n Structure and support of the tip cartilages are the foundation and critical for the appearance and longevity of your results. As part of building the structure and support, the lower lateral cartilages can be repositioned and reshaped to the ideal appearance. Further refining of the definition and contour then occurs, with management of the soft tissue envelope being part of the decision process throughout.<\/jats:p>\n Scar modulation and protection of graft constructs are critical for long-term stability.<\/jats:p>\n Regenerative therapies, advanced biomaterials, and minimally invasive contour solutions continue to evolve.<\/jats:p>\n A regimented, anatomy-driven approach provides consistent and durable outcomes in revision tip rhinoplasty.<\/jats:p>","DOI":"10.1055\/a-2761-1991","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:20:42Z","timestamp":1766103642000},"page":"351-358","source":"Crossref","is-referenced-by-count":0,"title":["Management of Nasal Tip Deformities in Revision Rhinoplasty"],"prefix":"10.1055","volume":"42","author":[{"given":"Arianna","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Coviello","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas, United States"},{"name":"University of Texas Medical Branch, Galveston, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Farrior","sequence":"additional","affiliation":[{"name":"Private Practice, Farrior Facial Plastic Surgery, Tampa, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Sturm","sequence":"additional","affiliation":[{"name":"Private Practice, PLCC, Bellaire, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1001\/archotol.1992.01880070025005","article-title":"Revision rhinoplasty. 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A 10-year experience","volume":"1","author":"R WH Kridel","year":"1999","journal-title":"Arch Facial Plast Surg"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1055\/s-0034-1396531","article-title":"Cranial tip suture in nasal tip contouring","volume":"30","author":"M Kovacevic","year":"2014","journal-title":"Facial Plast Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.bjps.2024.06.019","article-title":"A systematic review and meta-analysis of complications associated with crushed cartilage in rhinoplasty","volume":"96","author":"M W Wells","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.bjps.2024.05.036","article-title":"Mechanically fragmented cartilage grafts in rhinoplasty: an up-to-date systematic review","volume":"95","author":"F Segreto","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"07","key":"ref21","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1097\/00006534-199912000-00039","article-title":"Anatomic reconstruction of the nasal tip cartilages in secondary and reconstructive rhinoplasty","volume":"104","author":"F J Menick","year":"1999","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1089\/fpsam.2021.0399","article-title":"The use of acellular human dermis as a dorsal camouflaging graft in rhinoplasty","volume":"25","author":"C C Melancon","year":"2023","journal-title":"Facial Plast Surg Aesthet Med"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"401e","DOI":"10.1097\/PRS.0000000000007623","article-title":"Use of autologous adipose-derived stromal vascular fractions in revision rhinoplasty for severe contractures in asian patients","volume":"147","author":"T H Ahn","year":"2021","journal-title":"Plast Reconstr Surg"},{"issue":"08","key":"ref24","doi-asserted-by":"crossref","first-page":"2879","DOI":"10.1097\/SCS.0000000000011455","article-title":"Hyaluronic acid filler injection in the nose in correlation with rhinoplasty","volume":"36","author":"A Lazzarotto","year":"2025","journal-title":"J Craniofac Surg"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/j.burns.2021.02.013","article-title":"The safety and efficacy of intralesional triamcinolone acetonide for keloids and hypertrophic scars: a systematic review and meta-analysis","volume":"47","author":"Z Zhuang","year":"2021","journal-title":"Burns"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2761-1991.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T22:31:23Z","timestamp":1779748283000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2761-1991"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":22,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,5,25]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2761-1991","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12,18]]},"published":{"date-parts":[[2025,12,18]]}}}