Dario Bertossi, MD Claus Walter, MD Pier Francesco Nocini, MD
Aesthetic Surgery Journal, Volume 34, Issue 8, 1 November 2014, Pages 1153–1161
Published: 01 November 2014
Abstract
Background
Nasal tip depression is associated with nasal valve collapse. The pull-up spreader high (PUSH) technique was developed to enlarge the nasal dorsum and upwardly rotate and define the nasal tip by lifting the domes.
Objectives
The authors reviewed a case series to assess the long-term effectiveness of the PUSH technique in improving nasal airflow and aesthetic outcomes.
Methods
This retrospective study included 50 consecutive cases of PUSH rhinoplasty. Objective (acoustic rhinomanometry) and subjective (patient questionnaire) evaluations of the stability of the aesthetic result and improvement of airflow were conducted before and 3 years after PUSH rhinoplasty.
Results
PUSH rhinoplasty resulted in long-term stability of the aesthetic effect. All patients had pleasing aesthetic results and a general improvement in the nasal airway. When the degree of nasal obstruction was scored from 1 (greatest obstruction) to 10 (least obstruction), 22 patients rated their nasal function improved to a score of 10 and 28 patients to a score of 8. Rhinomanometry indicated that only 1 patient had worsened nasal airflow.
Conclusions
The PUSH technique enables stable upward rotation and improved definition of the severely depressed nasal tip through an open approach.
Level of Evidence: 4