Facial plast Surg 2017; 33(01): 082-086
DOI: 10.1055/s-0036-1597899
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Adjuncts to Improve Nasal Reconstruction Results

Shayna Lee Gordon1, Eva A. Hurst1
  • 1Department of Dermatology, Washington University in Saint Louis School of Medicine Ringgold Standard Institution, Saint Louis, Missouri
Further Information

Publication History

Publication Date:
22 February 2017 (online)

Abstract

The final cosmetic appearance of nasal reconstruction scars is of paramount importance to both the patient and surgeon. Ideal postreconstruction nasal scars are flat and indistinguishable from surrounding skin. Unfortunately, even with meticulous surgical execution, nasal scars can occasionally be suboptimal. Abnormal fibroblast response can lead to hypertrophic nasal scars, and excessive angiogenesis may lead to telangiectasias or an erythematous scar. Imperfect surgical closure or poor postoperative management can lead to surgical outcomes with step-offs, depressions, suture marks, or dyspigmentation. Aesthetically unacceptable nasal scars can cause pruritus, tenderness, pain, sleep disturbance, and anxiety and depression in postsurgical patients. Fortunately, there are several minimally invasive or noninvasive techniques that allow for enhancement and improvement of cosmetic results with minimal risk and associated downtime. This article provides an overview of adjuncts to improve nasal reconstruction with a focus on techniques to be used in the postoperative period. Armed with an understanding of relevant available therapies, skillful surgeons may drastically improve the final cosmesis and outcome of nasal reconstruction scars.