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Tip sculpturing rhinoplasty refers to surgery to reshape the lower third (tip) of the nose, for patients who do not have any issues involving the bridge.Most commonly this surgery is for individuals who have a bulbous tip, but other problems can also be addressed.
The surgery involves reshaping the lower lateral cartilages and, in some cases, the lower portion of the septum as well. This reshaping process can be done through an open(external) or closed (endonasal) technique. My own personal preference is to use the open technique when there is extensive tip work to be done, as I am able to directly visualize the cartilages while reshaping them, but there are certainly many patients for whom I would used the closed technique as well.