Nasal Tip Deformities After Primary Rhinoplasty

Bermudez, Paul; Quereshy, Faisal A.

doi:10.1016/j.coms.2020.09.005

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…It is estimated that as many as 29% of patients seeking revision rhinoplasty note tip asymmetry as a major motivator for seeking secondary surgery [4] . Patients who have undergone revision rhinoplasty are more likely to be perceived as having an asymmetric nose compared to those who have only undergone primary rhinoplasty [5] . This finding illustrates the necessity of careful planning and the level of complexity faced when approaching nasal asymmetry correction with revision rhinoplasty.…”

Section: Nasal Tip Asymmetrymentioning

confidence: 98%

“…Bossae can occur as natural asymmetries of the lower lateral cartilages, though they are most frequently seen in the setting of previously performed surgery. Previous reviews have demonstrated that bossae may be present in as many as 3%-5% of patients who have undergone primary rhinoplasty [5,21,22] . As a surgical complication, bossae are thought to form from sharp, irregular cartilage edges that undergo scar contracture and form a pointed bump [23] .…”

Section: Nasal Bossaementioning

confidence: 99%

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Correction and prevention of tip asymmetries, bossae, and alar retraction

Randall,

Peraza,

III

2024

Plast Aesthet Res

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Secondary rhinoplasty to address complications from initial surgical intervention is a technically challenging operation. Common aesthetic complications that plague patients after primary rhinoplasty include nasal tip asymmetries, bossae, and alar retraction. These adverse outcomes are usually a result of over-manipulation and/or over-excision of native cartilage and are especially prevalent in patients with thick lower lateral cartilages and thin nasal skin. Techniques to minimize tissue handling, maintain natural nasal anatomic support and structure, and soften sharp edges from cartilage grafts or incisions are all essential in the prevention of nasal tip irregularities. In addition to prevention, there are many operative and procedural interventions to correct tip asymmetries, bossae, and alar retraction. These interventional corrections include varying cartilage and/or fascial grafts, camouflaging of previously performed grafts, and repositioning of the alar cartilage.

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Section: Nasal Tip Asymmetrymentioning

confidence: 98%

Section: Nasal Bossaementioning

confidence: 99%

Correction and prevention of tip asymmetries, bossae, and alar retraction

Randall,

Peraza,

III

2024

Plast Aesthet Res

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“…Ideal nasal tip is considered to have higher caudal edge of the lower lateral cartilages relative to the cephalic margin, everted lateral crura, straight lower lateral cartilages, and a diamondshaped tip. 1,2 However, the anatomical characteristics of the Asian nose are rounded tip, low dorsum, relatively flat bony part, relatively weak cartilage support structure, and thicker skin. 3,4 Nasal tip hypertrophy is one of the most common morphologies of Asian nasal tip.…”

mentioning

confidence: 99%

Nasal Tip and Alar Groove Plasty Through External Nasal Cutting in Asians: A Clinical Study

Tang

et al. 2022

Journal of Craniofacial Surgery

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Objective: Nasal tip hypertrophy is common in Asians, and its reshaping is very critical in rhinoplasty. For patients who refuse any implant placed in the nose, there are limited options for tip reshaping. Herein, we introduce a new procedure of nasal tip and alar groove plasty through external nasal cutting in Asians. Methods: A total of 20 patients who had hypertrophic nasal tip and refused to have any implants were included in this study. They were performed this procedure of nasal tip and alar groove plasty through external nasal cutting. The authors carefully reviewed the patients' medical records and preoperative and postoperative photographs. Self-reported satisfactions of patients with the scar morphology and correction effect were assessed at postoperative every follow-up using a questionnaire survey. Results: All of the patients' procedures were completely successful, and the hypertrophic nasal tip was improved. In the long-term postoperative follow-up, the patients' wound showed no abnormalities such as scar contracture deformity, scar bumps, and nasal deformation. In 1 patient, the nasal wound developed significant scarring, and we performed reoperation to remove the superficial scar tissue. Surgical scars in the remaining patients were not obvious. Eight patients (8/20) reported "very satisfied" with scar shape and nasal tip shape improvement results, and 10 patients (10/20) reported "satisfied" with the outcomes. Conclusions: This procedure of nasal tip and alar groove plasty could be an alternative for making the nasal tip more refined. However, the surgical indications for this procedure need to be strictly limited to specific patients. Level of Evidence: Level IV.

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Secondary Rhinoplasty (3): Tip

Lee

2022

State of the Art Rhinoplasty Techniques

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Nasal Tip Deformities After Primary Rhinoplasty

Cited by 6 publications

References 11 publications

Correction and prevention of tip asymmetries, bossae, and alar retraction

Correction and prevention of tip asymmetries, bossae, and alar retraction

Nasal Tip and Alar Groove Plasty Through External Nasal Cutting in Asians: A Clinical Study

Secondary Rhinoplasty (3): Tip

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