Tip Bossing in Rhinoplasty Workup

Updated: Oct 25, 2018
  • Author: Aaron G Benson, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Laboratory Studies

See the list below:

  • CBC count

  • Prothrombin time (PT)

  • Activated partial thromboplastin time (aPTT)

  • International normalized ratio (INR)

  • Chem-7 battery of tests

  • Any additional labs needed per history

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Imaging Studies

See the list below:

  • Chest radiograph

  • Preoperative photographs to document the following:

    • Frontal view

      • Brow-tip aesthetic line

      • Upper one third of nose (width, symmetry, concavity/convexity)

      • Tip-defining point

      • Location and size of asymmetry

      • Lobule dimension

    • Lateral view

      • Nasal take-off point

      • Nasofrontal angle

      • The presence of convexity or concavity

      • Projection (in Goode's ratio, projection is 0.55-0.6 of nasal length)

      • 2-4 mm columellar skin

      • Pogonion

      • Comment about asymmetry of tip

    • Basal view

      • Shape

      • Columella-to-lobule ratio

      • Nasal sidewalls

      • Nostril size

      • Asymmetry of lobule

      • Medial footplates

    • Oblique view - Confirms other findings

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Other Tests

See the list below:

  • ECG (if patient smokes regularly, has hypertension, or has other cardiac history)

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