Abstract
The nasal dorsum is an important component of a rhinoplasty and may be the primary
motivation for seeking surgery. The nasal dorsum is a complex three-dimensional shape
that is shrouded by local anesthetic and edema during surgery. This makes an accurate
assessment of the surgical changes challenging. Complications related to dorsal modification
include imbalances from over- or underresection of the structures of the nasal dorsum,
inadequate or overaugmentation, an open-roof deformity, pollybeak, saddle nose, inverted-V,
warped cartilage, visible grafts, contour problems, graft malposition, and extrusion.
This review will discuss the common problems that can occur with dorsal modification
during rhinoplasty.
Keywords
dorsal graft - complications - saddle nose - alloplast - filler
