Facial plast Surg 2003; 19(4): 349-362
DOI: 10.1055/s-2004-815655
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Adjustment of Subtle Postoperative Nasal Defects: Managing the “Near-Miss” Rhinoplasty

Anthony P. Sclafani1,2,3 , Thomas Romo, III1,2,3,4 , Jay G. Barnett5 , Channing R. Barnett6
  • 1Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary, New York, NY
  • 2Division of Facial Plastic and Reconstructive Surgery, The New York Eye and Ear Infirmary, New York, NY
  • 3Department of Otolaryngology-Head and Neck Surgery, New York Medical College, Valhalla, NY
  • 4Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Lenox Hill Hospital, New York, NY
  • 5Private practice, New York, NY
  • 6Albert Einstein College of Medicine, Bronx, NY
Further Information

Publication History

Publication Date:
22 January 2004 (online)

ABSTRACT

Rhinoplasty entails several steps that affect the appearance and function of the nose in an interrelated way. Occasionally, an excellent result can be marred by a minor imperfection and lead to dissatisfaction of both patient and surgeon. For significant pathology, revision rhinoplasty can be performed safely if the architecture and physiology of the nose are respected. To correct the “near-miss” result, minor corrections can successfully restore the aesthetic result. This can require a different frame of reference and approach and can often be thought of in terms of soft tissue correction. Subcutaneous fibrosis, skin depressions, asymmetries, and deficits can be corrected with minor procedures and techniques not routinely associated with rhinoplasty. We detail several methods that can be used to restore simply and effectively an otherwise excellent rhinoplasty result.