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 |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Dermabrasion Physical examination General Medicine Rhinoplasty Surgery medicine.anatomical_structure medicine Deformity Local anesthesia medicine.symptom Elderly patient business Nose External rhinoplasty |
Zdroj: | Aesthetic Surgery Journal. 35:NP264-NP265 |
ISSN: | 1527-330X 1090-820X |
DOI: | 10.1093/asj/sjv116 |
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 |
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