External Rhinoplasty by Skin Excision to Correct Hypertrophic Tip of an Elderly Patient

نویسندگان

  • Baptiste Bertrand
  • Charalambos Georgiou
  • Nathalie Degardin
  • Jacques Bardot
  • Dominique Casanova
چکیده

An elderly patient’s aesthetic requirements to correct a large and drooping nasal tip are difficult to satisfy. When the skin is thick, hard and sebaceous, tip deformity cannot be corrected with a standard rhinoplasty procedure. The authors present a new two-step approach of hypertrophic tip correction combining skin excision, cartilaginous framework remodeling, dermabrasion, and the results for one patient after a two-year follow-up.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Skin Excision as an Adjunctive Technique to Rhinoplasty in Middle-Aged and Elderly Patients

Rhinoplasty in middle-aged and elderly patients comes with its own set of challenges. There is relative lengthening of the nose with drooping of the nasal tip. With aging, the skin loses its elasticity, and the combination of nasal skeletal reduction along with overlying inelastic skin provides a setup for skin redundancy and poor postoperative outcome. We describe a surgical technique involvin...

متن کامل

Clinical evaluation of safety and complications of the nasal tip defatting in rhinoplasty

Objective: Nasal tip refinement is an important objective in aesthetic rhinoplasty and one of the surgical options for soft tissue management in very thick bulbous skin and subcutaneous noses is tip defatting. The aim of this study was to evaluate the safety and complications of tip defatting in thick skin and bulbous noses.     Methods: Among 527 patients that underwent rhinoplasty in Modar...

متن کامل

Reconstruction of a Columellar Defect With a Nasolabial Island Flap

Columellar skin defects may be caused by excision of cutaneous malignancy, trauma, or tissue necrosis associated with surgery. Although columellar skin necrosis rarely occurs following rhinoplasty, this condition might be more common when using an external approach than a closed approach. Columellar skin incision performed with exaggerated tip augmentation may cause columellar necrosis. The nas...

متن کامل

Interdomal fat pad: an important anatomical structure in rhinoplasty.

OBJECTIVE To describe the interdomal fat pad, an important anatomical structure that, to our knowledge, has not been reported in the rhinoplasty literature. DESIGN Anatomical observations were made during a consecutive series of external rhinoplasties, and the existence of the interdomal fat pad was documented in patients with noses of varying nasal skin thicknesses. SETTING Private facial ...

متن کامل

The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty

Background: The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision di-vides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertic...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 35  شماره 

صفحات  -

تاریخ انتشار 2015