Facial Plast Surg 2012; 28(04): 440-446
DOI: 10.1055/s-0032-1319843
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Deprojection of the Nasal Tip in Revision Rhinoplasty

Russell W. H. Kridel
1   Department of Otolaryngology–Head and Neck Surgery, University of Texas Health Sciences Center at Houston, Houston, Texas
,
Samir S. Undavia
1   Department of Otolaryngology–Head and Neck Surgery, University of Texas Health Sciences Center at Houston, Houston, Texas
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
07. August 2012 (online)

Abstract

Overprojection in revision rhinoplasty can be the result of underaddressed anatomic variations, iatrogenic causes including overresection of the nasal dorsum, or the healing process. Management of nasal tip overprojection in revision rhinoplasty can be very difficult, and the revision rhinoplasty surgeon must have a multitude of techniques available to treat the various causes of nasal tip overprojection. An algorithm is presented to properly approach and treat nasal tip overprojection.

 
  • References

  • 1 Kridel RW, Yoon PJ, Koch RJ. Prevention and correction of nasal tip bossae in rhinoplasty. Arch Facial Plast Surg 2003; 5: 416-422
  • 2 Kridel RW, Chiu RJ. The management of alar columellar disproportion in revision rhinoplasty. Facial Plast Surg Clin North Am 2006; 14: 313-329 , vi
  • 3 Soliemanzadeh P, Kridel RW. Nasal tip overprojection: algorithm of surgical deprojection techniques and introduction of medial crural overlay. Arch Facial Plast Surg 2005; 7: 374-380
  • 4 Kridel RW, Rowe-Jones J. Ethnicity in facial plastic surgery. Facial Plast Surg 2010; 26: 61-62
  • 5 Powell N, Humphreys B. Proportions of the Aesthetic Face. New York, NY: Thieme-Stratton; 1984: 23
  • 6 Simons R. Nasal tip projection, ptosis and supratip thickening. Ear Nose Throat J 1982; 61: 452-457
  • 7 Bourn BS. Introduction. Ear Nose Throat J 1982; 61: 426-428
  • 8 Crumley RL, Lanser M. Quantitative analysis of nasal tip projection. Laryngoscope 1988; 98: 202-208
  • 9 Byrd HS, Hobar PC. Rhinoplasty: a practical guide for surgical planning. Plast Reconstr Surg 1993; 91: 642-654 ; discussion 655–656
  • 10 Kridel RW, Konior RJ. Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg 1991; 117: 411-415
  • 11 Kridel RW, Konior RJ. Dome truncation for management of the overprojected nasal tip. Ann Plast Surg 1990; 24: 385-396
  • 12 Kridel RW, Castellano RD. A simplified approach to alar base reduction: a review of 124 patients over 20 years. Arch Facial Plast Surg 2005; 7: 81-93
  • 13 Romo T, Sonne J, Choe KS, Sclafani AP. Revision Rhinoplasty. Facial Plast Surg 2003; 19: 299-308
  • 14 Kridel RW, Ashoori F, Liu ES, Hart CG. Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose. Arch Facial Plast Surg 2009; 11: 378-394
  • 15 Bagal AA, Adamson PA. Revision rhinoplasty. Facial Plast Surg 2002; 18: 233-244
  • 16 McCollough EG, Robertson JS, Greco TM. Nasal tip asymmetries: a systemic approach, revision rhinoplasty. Facial Plast Surg 1995; 3: 353-366