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Review of 98 Cases

Nabil Fanous, MD, FRCS(C); Richard Webster, MD

Arch Otolaryngol Head Neck Surg. 1987;113(7):728-736.

Abstract
• The nasal tip procedure is the most sophisticated aspect of a rhinoplasty, particularly in certain known problem types of nasal tips. A new approach, using Supramid tip implants, is introduced. Precise guidelines for the preoperative planning and operative techniques are developed, and the so-called pocket, experience, positioning, shape and size, and incision (PEPSI) rule is outlined. A comparative discussion of the advantages and disadvantages of the Supramid implant vs cartilage grafts and/or repositioning of alar cartilages is presented. The Supramid implant was used in the tip area for nasal tip alteration in a total of 98 cases. Patients were monitored for a period of six months to four years. The results were satisfactory.

(Arch Otolaryngol Head Neck Surg 1987;113:728-736)

Author Affiliations
From the Department of Otolaryngology and Head and Neck Surgery, McGill University, Montreal (Dr Fanous), the Plastic Surgery Service, Melrose (Mass)-Wakefield Hospital (Dr Webster), and the Department of Surgery, Massachusetts Eye and Ear Infirmary, Boston (Dr Webster).

Footnotes
Accepted for publication Oct 22, 1986.

Reprints not available.

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