Understanding Double Dome Highlights in
RhinoplastyOne of the major issues with traditional rhinoplasty
has been to create an overpinched nasal tip that has been dubbed the
“unitip”. This unitip simply looks unnatural because it is not the
natural shape of a nasal tip. When one looks at a nose, especially a
white person’s nose, that has relatively thin skin and pronounced underlying
cartilage structure there should be a gentle splaying of the nasal tip with
two small white highlights as light strikes it. The absence of these
highlights can create a fake look or at the very least an unnatural look.
These dome highlights are not as evident in thicker-skinned, ethnic
noses. The reason that these domal highlights disappear is due to the
over-tightening of the nasal tip in order to reduce the boxiness or bifidity
of the nasal tip in an attempt at greater refinement. The way that I
refine the nose without losing the natural appearance to it is to do what is
known as a double dome-binding suture. I first refine each dome and
then I bring the two domes together leaving a slight degree of splay to the
domes so that the natural and attractive domal highlights are
preserved.<!–
Double dome binding suture
shown that preserves domal highlights–>Samuel M. Lam, MD, FACS is a board
certified facial plastic surgeon in Dallas, Texas. To learn more about Dr
Lam’s Rhinoplasty
procedures please call to schedule a consultation. If you would like to
ask Dr Lam a question about a nose
job please visit our Rhinoplasty forum.
