Correction of the Over-resected Nose - 03/10/19

Doi : 10.1016/j.fsc.2019.07.003

Abdul Nassimizadeh, MBChB, BMedSci, MRCS ^a, Mohammad Nassimizadeh, MBChB, BMedSci, MRCS ^a, Jinli Wu, PA-C ^b, Donald B. Yoo, MD ^c,^d,^e,^⁎
^a University Hospital Birmingham, 3 Pavenham Drive, Birmingham B5 7TN, UK
^b Yoo Plastic Surgery, 120 S Spalding Drive Suite 303, Beverly Hills, CA 90212, USA
^c Donald B. Yoo, M.D., Inc, Facial Plastic & Reconstructive Surgery, Beverly Hills, CA, USA
^d Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, University of Southern California, Los Angeles, CA, USA
^e Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, University of California – Los Angeles, Los Angeles, CA, USA

^∗Corresponding author. 120 South Spalding Drive, Suite 303, Beverly Hills, CA 90212.120 South Spalding DriveSuite 303Beverly HillsCA90212

Résumé

Overzealous reduction during rhinoplasty may result in manifold functional as well as aesthetic injuries to the nose and is a prevailing antecedent of revision rhinoplasty. Although challenges for the revision rhinoplasty surgeon abound, careful assessment of the anatomic deficiencies of the nose, accurate evaluation and management of a patient’s expectations, and precise planning and execution of surgical technique serve to facilitate a successful result. Contemporary techniques for correction of the over-resected nose are discussed, with special attention directed toward costal cartilage grafting and diced cartilage fascia techniques.

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Keywords : Rhinoplasty, Revision rhinoplasty, Rib cartilage, DCF, Diced cartilage, Fascia