Asymmetric Tip

The Asymmetric Tip is related to the Asymmetric Bridge. Underlying these two situations is the septum and the influence this structure has on the position and symmetry of the tip and bridge. Hence straightening the septum is the most important thing to start with. You can read more about straightening the bridge here: Asymmetric Bridge. After this is done, you can then concentrate your efforts on making the tip symmetric. The key to making the tip symmetric is making sure the tip cartilages are symmetrically related. Below is an image of the lower lateral cartilages that controls the tip's shape and positioning.

Open Rhinoplasty Lower Lateral Cartilages

Below is also a picture of the tip and nose from below.

You can click here to see more Before and After Rhinoplasty Images

Rhinoplast Open Approach Before After Images

Below is another picture showing the position of the lower lateral cartilages in green:

Open Rhinoplasty Lower Lateral Cartilages

In Asymmetric Tips the lower lateral cartilages and how they relate to each is asymmetric. At each point along the green (in the picture above), the two halves could relate to each other in a non symmetrical way. This can make the tip go to the left or right, meaning the tip and how it appears can point to the right or the left. For example when the right tip is situated higher than the left tip, the tendency is for the tip to point more to the right. The correction of this entails bringing the right tip cartilage more inferior to match the left tip cartilage. This ends up pulling the tip, together as a whole, more to the left making the tip more in the middle. Sometimes these points may appear to be lining up correctly. If they are lining up correctly and the tip is still asymmetrically pointing to one side, you may have to change these points on one of the sides to restructure the shape of the lower lateral cartilages.

Lower Lateral Cartilages' Lateral, Middle and Medial Segments: In the picture below you will see the legs | crus of the lower lateral cartilages. In this picture, you will see the different legs or crus of the lower lateral cartilages: lateral, middle (or intermediate), and medial. If the structure of the lower lateral cartilage is in such a way that each of these segments is shifted more to the medial end you can get an asymmetric tip. For example, let's say that the right lower lateral cartilage has the lateral segment occupy more of the middle leg's location and the middle is occupying the medial segment more. What this does is that the tip is pushed to the left.

Open Rhinoplasty Lower Lateral Cartilages

Correcting Inherent Deformities within each Lower Lateral Cartilages: So in this case, the correction is readjusting where the lateral crus takes off, or begins next to the middle crus. In turn, the correction entails readjusting the take off point of where the midddle crus starts from the medial crus. But shifting these points toward the lateral crus the tip can be pulled over to the right and more to the middle. Another approach is just shortening the lateral crus through overlapping. That way the lateral crus reshaping will pull the tip over to the right.