Control of tip rotation.

Rotating the nasal tip is an integral and challenging aspect of rhinoplasty. This article describes ways of measuring tip rotation, coming to an agreement with the patient regarding desired tip rotation and psychological implications of tip rotation. Based on the tripod theory of the nasal tip, various techniques for changing tip rotation and projection are detailed and illustrated with clinical cases. The authors review the literature and present their personal preferences. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.