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

Anthony P. Sclafani; Thomas Romo III; Jay G. Barnett; Channing R. Barnett

doi:10.1055/s-2004-815655

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2003; 19(4): 349-362
DOI: 10.1055/s-2004-815655

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

Anthony P. Sclafani^1,2,3 , Thomas Romo, III^1,2,3,4 , 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

Abstract

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.

KEYWORDS

Revision rhinoplasty - nasal implants - corticosteroids - injectable fillers - silicone

Full Text

References

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