External Rhinoplasty by Skin Excision to Correct Hypertrophic Tip of an Elderly Patient: Figure 1

Autor: Nathalie Degardin, Baptiste Bertrand, Jacques Bardot, Charalambos A. Georgiou, Dominique Casanova
Rok vydání: 2015
Předmět:
Zdroj: Aesthetic Surgery Journal. 35:NP264-NP265
ISSN: 1527-330X
1090-820X
Popis: 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. A 57-year-old man complained of a large and drooping tip that was worsening with age. Clinical examination noted sebaceous, hard, and poorly contractile skin. Two atypical procedures were performed under local anesthesia. In the first step, a 4 mm wide cutaneous and subcutaneous flap was excised around the aesthetic subunit of the tip according to a pre-established U drawing. The alar cartilages were dissected under the flap. The cranial parts of the domus were resected and both intermediate crus …
Databáze: OpenAIRE