scholarly journals A solution for revision rhinoplasty with thinned nasal tip skin: An extended dermofat graft

2021 ◽  
Vol 27 (1) ◽  
pp. 43-45
Author(s):  
Daiwon Jun ◽  
Na Rim Kim ◽  
Young Chul Suh ◽  
Jung Ho Lee
Keyword(s):  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Dermofat Graft

Nasal tip abscess due to adverse skin reaction to Prolene: an unusual long term complication of rhinoplasty

2012 ◽  
Vol 127 (1) ◽  
pp. 76-79 ◽  
Author(s):  
A Teymoortash ◽  
J A Fasunla ◽  
W Pfützner ◽  
S Steinbach-Hundt
Keyword(s):  
Skin Reaction ◽  
Allergic Reactions ◽  
Skin Reactions ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Absorbable Sutures ◽  
Subcutaneous Layer ◽  
Prolene Suture ◽  
Operative Findings

AbstractObjectives:Allergic reactions to Prolene are rare. This paper reports a nasal tip abscess which developed in a patient with an adverse skin reaction to Prolene after rhinoplasty.Methods and results:A 26-year-old woman presented with painful, progressive nasal tip swelling and redness. She had undergone septo-rhinoplasty two years previously. She was initially treated with endonasal drainage of the abscess and antibiotics, but a revision rhinoplasty three months later became necessary because of recurrent abscess formation. Intra-operative findings included granulation tissue with pockets of pus and knotted Prolene sutures at the tip-defining points of the lower lateral cartilages. She was patch-tested with Prolene and a cutaneous Prolene suture was placed on her back; an adverse skin reaction was seen for the latter.Conclusion:Use of non-absorbable sutures, such as Prolene, in the subcutaneous layer may be a potential, rare risk factor for adverse skin reactions.

Deprojection of the Nasal Tip in Revision Rhinoplasty

2012 ◽  
Vol 28 (04) ◽  
pp. 440-446 ◽  
Author(s):  
Russell Kridel ◽  
Samir Undavia
Keyword(s):  
Nasal Tip ◽  
Revision Rhinoplasty

scholarly journals Compulsory auricular cartilage use: Modified septal extension graft application in revision rhinoplasty

2021 ◽  
Vol 9 (3) ◽  
pp. 104-110
Author(s):  
Ali Seyed Resuli
Keyword(s):  
Costal Cartilage ◽  
Auricular Cartilage ◽  
Caudal Part ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Aesthetic Appearance ◽  
Tongue In Groove ◽  
Nasal Tip Projection ◽  
Extension Graft

OBJECTIVE: This study aimed to demonstrate how to perform a tongue-in-groove graft with the method we developed using auricular cartilage to provide adequate nasal tip support in 17 revision rhinoplasty cases. METHODS: This retrospective study was conducted on 17 patients (17 females; mean age: 23.9+3.7 years; range, 19 to 30 years) who underwent revision rhinoplasty (RR) operations for a low nasal tip between February 2019 and September 2020. After auricular cartilage was removed with a standard posterior auricular intervention, it was folded in two to increase its resistance and fixed to the caudal part of the nasal septum as a tongue-in-groove graft. RESULTS: Solid nasal tip support and satisfactory nasal tip projection and rotation were achieved in all patients. One (6%) patient developed auricular hematoma as a complication on the third postoperative day, and three (17%) of our patients complained of nasal obstruction in their postoperative follow-up. CONCLUSION: When the use of costal cartilage is limited due to social and cultural reasons in RR cases performed due to a low nasal tip, auricular cartilage can be used as a modified tongue-in-groove graft and provides a satisfactory aesthetic appearance.

scholarly journals The Cartilage Rhinoplasty with Goldman Technique for Correcting the Broad Nasal Tip

2021 ◽  
pp. 12-24
Author(s):  
Ming He, Teng Zhao
Keyword(s):  
Senior Author ◽  
Average Score ◽  
Successful Result ◽  
Rotation Symmetry ◽  
Independent Observer ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Pathologic Findings ◽  
Postoperative Improvement ◽  
Improvement Score

In this paper, A retrospective review was performed for all the patients who underwent surgery with the Goldman technique by the senior author from 2004 to 2009 for correction of the broad nasal tip. The clinical and pathologic findings of these patients were reviewed, and an independent observer evaluated the pre- and postoperative photos of the patients using five parameters: projection, rotation, symmetry, shape, and distance of the tip-defining points. The evaluation was performed using a scale of -1 to +1 for each of the five parameters. Of the 205 patients who underwent the technique, 115 (56%) were patients with broad tips, and 90 (44%) were patients with broad (boxy) tips. A total of 189 cases (92.2%) involved primary rhinoplasties, and 16 cases (7.8%) involved revision. During this period, complications were observed in five patients (2.4%), who underwent revision rhinoplasty with a successful result. The average score for the five parameters already mentioned for primary rhinoplasties according to the scale of -5 to +5 showed a significant postoperative improvement (score, +4.3). It implied that the cartilage rhinoplasty with Goldman technique is safe when performed by experienced surgeons and according to specific indications. This conclusion is indicated by the low rate of complications in the large series of patients in this study.

Dissatisfaction with Nasal Tip Shape: Secondary Tip Maneuvers

2018 ◽  
Vol 34 (03) ◽  
pp. 278-286 ◽  
Author(s):  
Jeffrey Moyer
Keyword(s):  
Revision Surgery ◽  
Alar Cartilage ◽  
Scar Contracture ◽  
Nasal Tip ◽  
Revision Rhinoplasty ◽  
Skin Envelope ◽  
Common Causes ◽  
Frequent Presence

AbstractDissatisfaction 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.

Nasal tip metastasis revealing a Pancoast tumour

1998 ◽  
Vol 138 (3) ◽  
pp. 559-560 ◽  
Author(s):  
Vieira Mota ◽  
Correia ◽  
Resende ◽  
Azevedo ◽  
Mesquita‐Guimarães
Keyword(s):  
Nasal Tip

Misadventures in Nasal Tip Surgery

1987 ◽  
Vol 20 (4) ◽  
pp. 797-823 ◽  
Author(s):  
M. Eugene Tardy ◽  
Elise Y. Cheng ◽  
Vance Jernstroin
Keyword(s):  
Nasal Tip
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