For elderly patients with severe nasal tip ptosis that requires more extensive correction, the previously described steps can be augmented by a skin excision "nose-lift." An incision is made at the rhinion, and the nasal tip is lifted by overlapping the excess skin/soft-tissue envelope of the nasal dorsum over the incision.
Of the researchers surveyed, all placed a landmark at the root of the nasal bone (nasion) and all except His (1895) placed another at the tip (rhinion).