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An Alternative to the Goldman Tip for the Wide or Bulbous Lobule

E. Gaylon McCollough, MD; James L. English, MD

Arch Otolaryngol. 1985;111(8):524-529.

Abstract
• When the cartilaginous framework in the tip of the nose fails to provide adequate support and definition, the rhinoplastic surgeon must create strength and refinement. To achieve these results, we advocate a new twist of an old concept that can be used to create a stronger, more triangular lobule in the wide, bulbous, or bifid tip. Morselizing, incising, and suturing alar cartilages have long been recognized as adjunctive procedures in tip rhinoplasty; however, the specific method described herein can provide results comparable to the classic Goldman tip while guarding against the possibility of cartilage displacement and mucous membrane entrapment.

(Arch Otolaryngol 1985;111:524-529)

Author Affiliations
From the Divisions of Otolaryngology, University of Alabama in Birmingham (Dr McCollough), and University of Arkansas, Little Rock (Dr English).

Footnotes
Accepted for publication March 5, 1985.

Reprint requests to 1516 S 20th St, Birmingham, AL 35205 (Dr McCollough).

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