Aesthetic and reconstructive rhinoplasty: a continuum

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
F J Menick

Abstract

The anatomy and aesthetics of the nose never change and are similar for cosmetic and reconstructive rhinoplasty. The disciplines differ in the cause of injury, which determines the site and degree of damage, the subsequent deformity, and the therapeutic approach to repair. The cosmetic surgeon modifies the bony-cartilaginous framework to support and mould the overlying skin. A thick, scarred or large skin envelope may limit the expected result but cannot be altered. When severe scarring or necrosis occurs after a cosmetic rhinoplasty or filler injection, missing external skin and internal lining become a controlling factor in achieving nasal shape and must be replaced in exact dimension and border outline, guided by the principles of aesthetic nasal reconstruction. This paper illustrates the use of a 3 stage forehead flap and anatomic reconstruction of the tip cartilages to repair a full thickness necrosis of the tip after a cosmetic filler injection. An overview of presentation and treatment of this complication is presented with reconstructive guidelines to direct the surgeon to successful repair.

References

Aug 29, 2006·Plastic and Reconstructive Surgery·Gottfried LemperleNelly Gauthier-Hazan
Nov 23, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A R PattersonR A Loukota
Jun 10, 2009·Clinics in Plastic Surgery·Frederick J Menick
Dec 22, 2009·Facial Plastic Surgery : FPS·Michael J Weinberg, Nowell Solish
May 5, 2010·Plastic and Reconstructive Surgery·Benjamin BurtRobert A Goldberg
Dec 22, 2011·Plastic and Reconstructive Surgery·Frederick J Menick

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Citations

Aug 30, 2014·Annales de chirurgie plastique et esthétique·Y Jallut, P S Nguyen
Feb 26, 2014·Journal of Experimental & Clinical Cancer Research : CR·Emilia MiglianoMauro Picardo
Aug 30, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Alessandro Innocenti, Marco Innocenti
Dec 16, 2016·Plastic and Reconstructive Surgery. Global Open·Per Hedén

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