Correction of Severely Contracted Nose

Abstract

Therapeutic, IV.

Polydeoxyribonucleotide and Microlens Array-type, Nanosecond-domain Neodymium:Yttrium-aluminum-garnet Laser Treatment for Scars from Costal Cartilage Harvest Surgery: Case Series of 9 Patients

“…Regional infections and subsequent inflammatory reactions on and around nasal implants after rhinoplasty can elicit excessive fibrosis and extensive scar formation. 1 These pathologic reactions can result in a severely contracted nose that may distort the nasal cartilage framework. 1 Most patients require revision rhinoseptoplasty to correct the contracted nose.…”

“…1 These pathologic reactions can result in a severely contracted nose that may distort the nasal cartilage framework. 1 Most patients require revision rhinoseptoplasty to correct the contracted nose. 1 However, because patients with a severely contracted nose typically present with insufficient septal cartilage, costal cartilage harvest surgery is also required for revision septorhinoplasty.…”

Adjuvant Therapy for Revision Rhinoplasty of Contracted Nose Using Polydeoxyribonucleotide and Invasive Bipolar Radiofrequency

“…Many cases of severely contracted nose result from regional infections on and around nasal implants, including silicone products. 1 Subsequent inflammatory reactions and excessive fibrosis can elicit the formation of extensive scar tissue over the dermis and subcutaneous fat layers, with or without distorting the underlying nasal cartilage framework. 1 Most patients with contracted nose require revision rhinoplasty and septoplasty, for which preoperative and/or intraoperative expansion of nasal soft tissue is necessary.…”

“… 1 Subsequent inflammatory reactions and excessive fibrosis can elicit the formation of extensive scar tissue over the dermis and subcutaneous fat layers, with or without distorting the underlying nasal cartilage framework. 1 Most patients with contracted nose require revision rhinoplasty and septoplasty, for which preoperative and/or intraoperative expansion of nasal soft tissue is necessary. 1 – 6 Scar tissue formed along the nose, however, limits the expansion of nasal tissue needed for tension-free revision surgery.…”

“… 1 Most patients with contracted nose require revision rhinoplasty and septoplasty, for which preoperative and/or intraoperative expansion of nasal soft tissue is necessary. 1 – 6 Scar tissue formed along the nose, however, limits the expansion of nasal tissue needed for tension-free revision surgery. In the present report, we describe the use of polydeoxyribonucleotide (PDRN) injections in combination with invasive bipolar radiofrequency (RF) treatment to soften nasal skin and improve skin mobility for improved outcomes in revision rhinoplasty and septoplasty.…”