Background: Endonasal double-dome techniques provide a reliable method to approach the nasal tip.
Objectives: To review one surgeon's 15-year experience using a graduated method of endonasal double-dome tip surgery including patient selection, intraoperative techniques, and postoperative complications and to emphasize the nuances to achieve symmetry and consistent results.
Patients and methods: Three hundred eighty-six patients who had adequate follow-up after undergoing endonasal double-dome tip rhinoplasty.
Results: Results at 1 year showed high rates of supratip (94%), dome (96%), and nostril (88%) symmetry. There was a high rate of patient satisfaction with a low rate of revision (7%).
Conclusion: Endonasal double-dome tip surgery provides the surgeon the ability to achieve consistent results with high patient satisfaction and a low rate of revision.