ABSTRACT
The short nose is a complex and frustrating problem that many rhinoplasty surgeons
face in their practice. It can be seen in both the hereditary nasal deformity patient
as well as in patients having undergone previous nasal surgery. In the revision rhinoplasty
patient, the short nose can result from overresection of the nasal dorsum, a deficiency
in the middle third causing a saddle nose and tip retraction, and from structural
loss in the lobule. Several methods have been described regarding the treatment of
this deformity. They range from simple tip grafting in the mildly affected patient
to complete nasal reconstruction in the patient with severe structural loss and skin
retraction. We will discuss the anatomy of the short nose and describe our techniques
for addressing specific deficiencies.
KEYWORDS
Revision rhinoplasty - short nose deformity - tip grafts - tip rotation - structural
loss
REFERENCES
- 1 Powell N, Hemphreys B.
Considerations and components of the aesthetic face. In: Smith JD Proportions of the Aesthetic Face. New York, NY; Thieme-Stratton Inc
1984: 20-26
- 2 Farrior E H, Farrior R T.
Analysis in rhinoplasty. In: Papel I and Nachlas N Facial Plastic and Reconstructive Surgery. St. Louis,
MO; Mosby 1992: 273
- 3
Beaty M M, Dyer 2nd W K, Shawl M W.
The quantification of surgical changes in nasal tip support.
Arch Facial Plast Surg.
2002;
4
82-91
Henry D Sandel IVM.D.
Meridian Plastic Surgeons, 170 West 106th Street
Indianapolis, IN 46290
Email: dansandel@gmail.com
