Practical details of nasal reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Medicine

Background:

• Nasal defects can arise from various causes, including trauma, cancer resection, and iatrogenic injury.
• Reconstruction of full-thickness nasal defects requires meticulous planning to restore both form and function.
• Aesthetic principles are paramount in nasal reconstruction to achieve satisfactory cosmetic outcomes.

Observation:

• A case study involving a full-thickness heminasal defect in an attractive woman following cosmetic filler injection.
• The defect resulted from necrosis, necessitating a complex reconstructive approach.
• The patient's aesthetic demands highlighted the importance of precise surgical planning and execution.

Findings:

• A three-stage folded forehead flap was employed for reconstruction.
• The technique utilized a modified folded forehead flap for lining.
• Primary and delayed primary support were incorporated, followed by late revision for landmark refinement.

Implications:

• This approach offers a viable solution for challenging full-thickness nasal defects.
• The described technique emphasizes the integration of aesthetic principles in reconstructive surgery.
• Successful reconstruction can significantly improve patient quality of life and self-esteem.