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Editor's Correspondence |

The Nasal Tripod Revisited—Reply

Daniel G. Becker, MD
Arch Facial Plast Surg. 2007;9(2):142-143. doi:10.1001/archfaci.9.2.142.
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I am a strong proponent of the tripod concept. It is an elegant mechanical teaching device that presents nasal tip dynamics in a way that is easily understood. It is a simplified model, however, and it may be asking too much of it to explain every aspect of tip dynamics.

Indeed, the appearance of length is a complicated topic. Among other things, the appearance of length is affected by the nasolabial angle and also by the “double break.” If the surgeon creates a more obtuse nasolabial angle, this will contribute to the appearance of rotation, whereas creating a more acute nasolabial angle is consistent with the appearance of counterrotation: lengthening the nose. The intermediate crura connect the lateral and medial crura and create the double break. The surgeon may create an appearance or an illusion of rotation by creating a more pronounced double break and may create an illusion of counterrotation by softening the double break.



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