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Facial Plast Surg
DOI: 10.1055/a-2577-2805
Original Article

When Reductive Rhinoplasty Goes Wrong and How to Make it Right

Ethan Moritz 
1   1FACE Toronto, Toronto, Ontario, Canada
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head & Neck Surgery, University of Toronto, Toronto, Canada
,
Jamil Asaria 
1   1FACE Toronto, Toronto, Ontario, Canada
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head & Neck Surgery, University of Toronto, Toronto, Canada
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Abstract

Aim and Background

Over-resection leads to many complications in rhinoplasty. Here, we detail the most common of these pitfalls and strategies to both avoid and repair them.

Anatomy

The nose is frequently divided into thirds. The nasal bones represent the upper third. The middle third is composed of the dorsal septum and upper lateral cartilages. The lower third is comprised of the lower lateral cartilages and tip-supporting structures.

Techniques

The commonly seen sequelae of over-resection include a deep radix, saddle nose deformity, inverted-V deformity, pollybeak deformity, alar retraction, a pinched nasal tip, bossae, deep alar grooves, and external nasal valve collapse. The major mechanism to avoid these issues is avoidance; however, several grafting techniques are described here to correct overly aggressive reduction.

Conclusion and Clinical Relevance

It is critical to avoid the complications described in this manuscript. Just as important, it is necessary to know how to correct these deformities when patients present for revision rhinoplasty.

Keywords

rhinoplasty - saddle - inverted-V - pollybeak


Publication History

Accepted Manuscript online:
08 April 2025

Article published online:
16 April 2025

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