Aesthetic and reconstructive rhinoplasty: a continuum

Area of Science:

• Plastic Surgery
• Otolaryngology
• Dermatology

Background:

• Cosmetic rhinoplasty and reconstructive surgery share nasal anatomy principles.
• Complications like necrosis after cosmetic procedures necessitate reconstructive approaches.
• Nasal skin envelope limitations impact cosmetic outcomes but are unalterable.

Purpose of the Study:

• To illustrate a reconstructive technique for full-thickness nasal tip necrosis post-cosmetic filler injection.
• To provide guidelines for managing and repairing severe nasal deformities from cosmetic procedures.
• To emphasize the importance of aesthetic nasal reconstruction principles in managing complications.

Main Methods:

• Utilized a three-stage forehead flap for external skin and internal lining replacement.
• Performed anatomic reconstruction of the nasal tip cartilages.
• Presented an overview of complication presentation and treatment strategies.

Main Results:

• Successfully repaired full-thickness nasal tip necrosis.
• Demonstrated the efficacy of the described reconstructive method.
• Provided a framework for successful surgical repair in similar cases.

Conclusions:

• Aesthetic nasal reconstruction principles are crucial for managing cosmetic procedure complications.
• Forehead flap and cartilage grafting offer a viable solution for full-thickness nasal defects.
• This approach guides surgeons toward successful repair of severe nasal tip necrosis.