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Facial Plast Surg 2017; 33(02): 202-206
DOI: 10.1055/s-0036-1598017
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Revision of the Nasal Dorsum

Sami P. Moubayed
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Stanford University School of Medicine, Stanford, California
,
Sam P. Most
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Stanford University School of Medicine, Stanford, California
› Author Affiliations
Further Information

Publication History

Publication Date:
07 April 2017 (online)

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Abstract

Revision of the dorsum in secondary rhinoplasty is challenging, regardless of the cause. Dorsal deformities should be evaluated for both aesthetic and functional. The authors briefly outline the presentation, etiology, pathogenesis, and treatment choices backed by evidence-based data, when applicable, for the following dorsal revision indications in secondary rhinoplasty: inverted-V and midvault narrowing, overresected dorsum, irregular dorsum, saddle nose, and pollybeak.

Keywords

secondary rhinoplasty - dorsum - revision rhinoplasty
 

  • References

  • 1 Sclafani AP. Rhinoplasty: The Experts' Reference. New York, NY: Thieme; 2015
    Article in Thieme ConnectGoogle Scholar
  • 2 Kamer FM, McQuown SA. Revision rhinoplasty. Analysis and treatment. Arch Otolaryngol Head Neck Surg 1988; 114 (3) 257-266
    CrossrefPubMedGoogle Scholar
  • 3 Sykes JM. Management of the middle nasal third in revision rhinoplasty. Facial Plast Surg 2008; 24 (3) 339-347
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Larrabee WF, Makielski KH, Henderson JL , eds. Surgical Anatomy of the Face. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2004
    Google Scholar
  • 5 Rohrich RJ, Janis JE, Adams WP, Krueger JK. An update on the lateral nasal osteotomy in rhinoplasty: an anatomic endoscopic comparison of the external versus the internal approach. Plast Reconstr Surg 2003; 111 (7) 2461-2462 , discussion 2463
    CrossrefPubMedGoogle Scholar
  • 6 Most SP, Murakami CS. Nasal osteotomies: anatomy, planning, and technique. Facial Plast Surg Clin North Am 2002; 10 (3) 279-285
    CrossrefPubMedGoogle Scholar
  • 7 Arslan E. No osteotomy rhinoplasty: indications and surgical details. Aesthetic Plast Surg 2014; 38 (1) 57-62
    CrossrefPubMedGoogle Scholar
  • 8 Moubayed SP, Most SP. The autospreader flap for midvault reconstruction following dorsal hump resection. Facial Plast Surg 2016; 32 (1) 36-41
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984; 73 (2) 230-239
    CrossrefPubMedGoogle Scholar
  • 10 Paun SH, Nolst Trenité GJ. Revision rhinoplasty: an overview of deformities and techniques. Facial Plast Surg 2008; 24 (3) 271-287
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Rhee JS, Weaver EM, Park SS , et al. Clinical consensus statement: diagnosis and management of nasal valve compromise. Otolaryngol Head Neck Surg 2010; 143 (1) 48-59
    PubMedGoogle Scholar
  • 12 Loh KT, Chua JJ, Lee HM , et al. Prevention and management of vision loss relating to facial filler injections. Singapore Med J 2016; 57 (8) 438-443
    CrossrefPubMedGoogle Scholar
  • 13 Wittkopf M, Wittkopf J, Ries WR. The diagnosis and treatment of nasal valve collapse. Curr Opin Otolaryngol Head Neck Surg 2008; 16 (1) 10-13
    CrossrefPubMedGoogle Scholar
  • 14 Ozturan O. Techniques for the improvement of the internal nasal valve in functional-cosmetic nasal surgery. Acta Otolaryngol 2000; 120 (2) 312-315
    CrossrefPubMedGoogle Scholar
  • 15 Rhee JS, Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repair: a 25-year systematic review. Otolaryngol Head Neck Surg 2008; 139 (1) 10-20
    CrossrefPubMedGoogle Scholar
  • 16 Saedi B, Amali A, Gharavis V, Yekta BG, Most SP. Spreader flaps do not change early functional outcomes in reduction rhinoplasty: a randomized control trial. Am J Rhinol Allergy 2014; 28 (1) 70-74
    CrossrefPubMedGoogle Scholar
  • 17 Cobo R. Correction of dorsal abnormalities in revision rhinoplasty. Facial Plast Surg 2008; 24 (3) 327-338
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Daniel RK, Sajadian A. Secondary rhinoplasty: management of the overresected dorsum. Facial Plast Surg 2012; 28 (4) 417-426
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Lee MR, Unger JG, Rohrich RJ. Management of the nasal dorsum in rhinoplasty: a systematic review of the literature regarding technique, outcomes, and complications. Plast Reconstr Surg 2011; 128 (5) 538e-550e
    CrossrefPubMedGoogle Scholar
  • 20 Thomas WW, Bucky L, Friedman O. Injectables in the nose: facts and controversies. Facial Plast Surg Clin North Am 2016; 24 (3) 379-389
    CrossrefPubMedGoogle Scholar
  • 21 Park KH, Kim YK, Woo SJ , et al; Korean Retina Society. Iatrogenic occlusion of the ophthalmic artery after cosmetic facial filler injections: a national survey by the Korean Retina Society. JAMA Ophthalmol 2014; 132 (6) 714-723
    CrossrefPubMedGoogle Scholar
  • 22 Carruthers JD, Fagien S, Rohrich RJ, Weinkle S, Carruthers A. Blindness caused by cosmetic filler injection: a review of cause and therapy. Plast Reconstr Surg 2014; 134 (6) 1197-1201
    CrossrefPubMedGoogle Scholar
  • 23 Beleznay K, Humphrey S, Carruthers JD, Carruthers A. Vascular compromise from soft tissue augmentation: experience with 12 cases and recommendations for optimal outcomes. J Clin Aesthet Dermatol 2014; 7 (9) 37-43
    PubMedGoogle Scholar
  • 24 Pribitkin EA, Ezzat WH. Classification and treatment of the saddle nose deformity. Otolaryngol Clin North Am 2009; 42 (3) 437-461
    CrossrefPubMedGoogle Scholar
  • 25 Azizzadeh B. Master Techniques in Rhinoplasty. St. Louis, MO: Elsevier/Saunders; 2011
    Google Scholar
  • 26 Daniel RK. Rhinoplasty: septal saddle nose deformity and composite reconstruction. Plast Reconstr Surg 2007; 119 (3) 1029-1043
    CrossrefPubMedGoogle Scholar
  • 27 Tardy Jr ME, Schwartz M, Parras G. Saddle nose deformity: autogenous graft repair. Facial Plast Surg 1989; 6 (2) 121-134
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Durbec M, Disant F. Saddle nose: classification and therapeutic management. Eur Ann Otorhinolaryngol Head Neck Dis 2014; 131 (2) 99-106
    CrossrefPubMedGoogle Scholar
  • 29 Alsarraf R, Murakami C. The saddle nose deformity. Facial Plast Surg Clin North Am 1999; 7: 303-310
    PubMedGoogle Scholar
  • 30 Guyuron B, DeLuca L, Lash R. Supratip deformity: a closer look. Plast Reconstr Surg 2000; 105 (3) 1140-1151 , discussion 1152–1153
    CrossrefPubMedGoogle Scholar
  • 31 Foda HM. Rhinoplasty for the multiply revised nose. Am J Otolaryngol 2005; 26 (1) 28-34
    CrossrefPubMedGoogle Scholar
  • 32 Byrd HS, Andochick S, Copit S, Walton KG. Septal extension grafts: a method of controlling tip projection shape. Plast Reconstr Surg 1997; 100 (4) 999-1010
    CrossrefPubMedGoogle Scholar
  • 33 Botti G. Thick skin and cosmetic surgery of the nasal tip: how to avoid the cutaneous polly beak. Aesthetic Plast Surg 1996; 20 (5) 421-427
    CrossrefPubMedGoogle Scholar
  • 34 Hanasono MM, Kridel RW, Pastorek NJ, Glasgold MJ, Koch RJ. Correction of the soft tissue pollybeak using triamcinolone injection. Arch Facial Plast Surg 2002; 4 (1) 26-30 , discussion 31
    CrossrefPubMedGoogle Scholar