Dissatisfaction with Nasal Tip Shape: Secondary Tip Maneuvers

Jeffrey S. Moyer

doi:10.1055/s-0038-1653988

Facial Plastic Surgery, Inhaltsverzeichnis

Facial Plast Surg 2018; 34(03): 278-286
DOI: 10.1055/s-0038-1653988

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dissatisfaction with Nasal Tip Shape: Secondary Tip Maneuvers

Jeffrey S. Moyer

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan

› Institutsangaben

Abstract

Dissatisfaction with the appearance of the nasal tip is a common compliant in patients seeking revision surgery after rhinoplasty. Revision rhinoplasty is more technically difficult and unpredictable given the frequent presence of scar contracture, impaired skin envelope quality, and missing alar cartilage. This article describes some of the more common causes for tip revision surgery and techniques to address these abnormalities.

Keywords

rhinoplasty - nasal tip - revision surgery - complication

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Referenzen

References
1 Lee M, Zwiebel S, Guyuron B. Frequency of the preoperative flaws and commonly required maneuvers to correct them: a guide to reducing the revision rhinoplasty rate. Plast Reconstr Surg 2013; 132 (04) 769-776
2 Yu K, Kim A, Pearlman SJ. Functional and aesthetic concerns of patients seeking revision rhinoplasty. Arch Facial Plast Surg 2010; 12 (05) 291-297
3 Chauhan N, Alexander AJ, Sepehr A, Adamson PA. Patient complaints with primary versus revision rhinoplasty: analysis and practice implications. Aesthet Surg J 2011; 31 (07) 775-780
4 East C, Kwame I, Hannan SA. Revision rhinoplasty: what can we learn from error patterns? An analysis of revision surgery. Facial Plast Surg 2016; 32 (04) 409-415
5 Adamson PA, Warner J, Becker D, Romo III TJ, Toriumi DM. Revision rhinoplasty: panel discussion, controversies, and techniques. Facial Plast Surg Clin North Am 2014; 22 (01) 57-96
6 Joseph AW, Ishii L, Joseph SS. , et al. Prevalence of body dysmorphic disorder and surgeon diagnostic accuracy in facial plastic and oculoplastic surgery clinics. JAMA Facial Plast Surg 2017; 19 (04) 269-274
7 Constantian MB, Clardy RB. The relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty. Plast Reconstr Surg 1996; 98 (01) 38-54 , discussion 55–58
8 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997; 99 (04) 943-952 , discussion 953–955
9 Toriumi DM. Discussion: frequency of the preoperative flaws and commonly required maneuvers to correct them: a guide to reducing the revision rhinoplasty rate. Plast Reconstr Surg 2013; 132 (04) 777-779
10 Rohrich RJ, Raniere Jr J, Ha RY. The alar contour graft: correction and prevention of alar rim deformities in rhinoplasty. Plast Reconstr Surg 2002; 109 (07) 2495-2505 , discussion 2506–2508
11 Rohrich RJ, Hoxworth RE, Kurkjian TJ. The role of the columellar strut in rhinoplasty: indications and rationale. Plast Reconstr Surg 2012; 129 (01) 118e-125e
12 Rohrich RJ, Kurkjian TJ, Hoxworth RE, Stephan PJ, Mojallal A. The effect of the columellar strut graft on nasal tip position in primary rhinoplasty. Plast Reconstr Surg 2012; 130 (04) 926-932
13 Lee JW, Baker SR. Correction of caudal septal deviation and deformity using nasal septal bone grafts. JAMA Facial Plast Surg 2013; 15 (02) 96-100
14 Caughlin BP, Been MJ, Rashan AR, Toriumi DM. The effect of polydioxanone absorbable plates in septorhinoplasty for stabilizing caudal septal extension grafts. JAMA Facial Plast Surg 2015; 17 (02) 120-125
15 Kridel RW, Scott BA, Foda HM. The tongue-in-groove technique in septorhinoplasty. A 10-year experience. Arch Facial Plast Surg 1999; 1 (04) 246-256 , discussion 257–258
16 Datema FR, Lohuis PJ. The tongue-in-groove technique in primary and revision rhinoplasty. Facial Plast Surg 2016; 32 (04) 416-423
17 Stephan S, Wang TD. Asymmetric nasal tip. Facial Plast Surg 2012; 28 (02) 177-186
18 Gillman GS, Simons RL, Lee DJ. Nasal tip bossae in rhinoplasty. Etiology, predisposing factors, and management techniques. Arch Facial Plast Surg 1999; 1 (02) 83-89
19 Toriumi DM, Asher SA. Lateral crural repositioning for treatment of cephalic malposition. Facial Plast Surg Clin North Am 2015; 23 (01) 55-71
20 Toriumi DM. New concepts in nasal tip contouring. Arch Facial Plast Surg 2006; 8 (03) 156-185
21 Troell RJ, Powell NB, Riley RW, Li KK. Evaluation of a new procedure for nasal alar rim and valve collapse: nasal alar rim reconstruction. Otolaryngol Head Neck Surg 2000; 122 (02) 204-211
22 Guyuron B, Bigdeli Y, Sajjadian A. Dynamics of the alar rim graft. Plast Reconstr Surg 2015; 135 (04) 981-986
23 Unger JG, Roostaeian J, Small KH. , et al. Alar contour grafts in rhinoplasty: a safe and reproducible way to refine alar contour aesthetics. Plast Reconstr Surg 2016; 137 (01) 52-61
24 Kridel RW, Soliemanzadeh P. Tip grafts in revision rhinoplasty. Facial Plast Surg Clin North Am 2006; 14 (04) 331-341 , vi vi.
25 Daniel RK. Tip refinement grafts: the designer tip. Aesthet Surg J 2009; 29 (06) 528-537
26 Peck GC. The onlay graft for nasal tip projection. Plast Reconstr Surg 1983; 71 (01) 27-39
27 Sheen JH. Tip graft: a 20-year retrospective. Plast Reconstr Surg 1993; 91 (01) 48-63
28 McCollough EG, English JL. A new twist in nasal tip surgery. An alternative to the Goldman tip for the wide or bulbous lobule. Arch Otolaryngol 1985; 111 (08) 524-529
29 Tardy Jr ME. E C. Transdomal suture refinement of the nasal tip. Facial Plast Surg 1987; 4 (04) 317-326
30 Daniel RK. Rhinoplasty: creating an aesthetic tip. A preliminary report. Plast Reconstr Surg 1987; 80 (06) 775-783
31 Daniel RK. Rhinoplasty: a simplified, three-stitch, open tip suture technique. Part I: primary rhinoplasty. Plast Reconstr Surg 1999; 103 (05) 1491-1502
32 Daniel RK. Rhinoplasty: a simplified, three-stitch, open tip suture technique. Part II: secondary rhinoplasty. Plast Reconstr Surg 1999; 103 (05) 1503-1512
33 Gruber RP, Nahai F, Bogdan MA, Friedman GD. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part I. Experimental results. Plast Reconstr Surg 2005; 115 (02) 589-594
34 Gruber RP, Nahai F, Bogdan MA, Friedman GD. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part II. Clinical results. Plast Reconstr Surg 2005; 115 (02) 595-606 , discussion 607–608
35 Gruber RP, Peled A, Talley J. Mattress sutures to remove unwanted convexity and concavity of the nasal tip: 12-year follow-up. Aesthet Surg J 2015; 35 (01) 20-27
36 Farrior EH, Ballert JA. Nuances of the nasal tip: rhinoplasty of the thin-skinned nose. Facial Plast Surg 2012; 28 (02) 171-176
37 Constantian MB. What motivates secondary rhinoplasty? A study of 150 consecutive patients. Plast Reconstr Surg 2012; 130 (03) 667-678