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Incision and scar analysis in open (external) rhinoplasty
P A Adamson1, O Smith, G J Tropper
1Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Canada.
Archives of Otolaryngology--Head & Neck Surgery
|June 1, 1990
Summary
Open rhinoplasty offers aesthetic benefits but can cause scarring. This study reviews techniques to minimize incision trauma and improve scar outcomes in open rhinoplasty patients.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
Background:
- Open rhinoplasty is gaining popularity.
- Concerns include atraumatic incision and visible scarring.
Purpose of the Study:
- Review existing incision techniques for open rhinoplasty.
- Present a preferred technique to minimize complications.
- Evaluate scar outcomes in a consecutive case series.
Main Methods:
- Review of literature on open rhinoplasty approaches.
- Analysis of 100 consecutive open rhinoplasty cases.
- Subjective and objective scar assessment in 81 patients.
Main Results:
- Low rates of scar-related failure: 1.2% subjective, 2.5% minor objective.
- Demonstrated feasibility of atraumatic incision and good scar cosmesis.
Conclusions:
- The open rhinoplasty approach can achieve excellent scar cosmesis.
- Recommendations provided to optimize technique and minimize patient concerns.