Nasal Tip Style Classification Based on the Lateral Crural Steal Suture Point

Abstract Precise control of nasal tip rotation and projection remains a fundamental challenge in rhinoplasty, directly influencing aesthetic outcomes and patient satisfaction. Although various suture techniques and grafting methods have been described, a reproducible system linking surgical maneuvers to specific nasal tip styles is lacking. This study introduces a practical classification based on the Most Projected Point (MPP) identified during the lateral crural steal maneuver. The MPP represents the point at which projection is maximized; further cranial positioning increases rotation while reducing projection, whereas caudal positioning increases projection at the expense of rotation. Using this reference, dome placement can be adjusted in a controlled manner to achieve distinct and predictable tip styles. This approach provides a structured intraoperative algorithm that facilitates consistent modulation of tip dynamics while improving communication of aesthetic goals with patients. By integrating surgical technique with aesthetic intent, this classification offers a simple and reproducible framework that may enhance predictability and decision-making in nasal tip refinement.