Avoiding irregularities on the nasal dorsum in rhinoplasty

Area of Science:

• Plastic Surgery
• Otolaryngology
• Facial Aesthetic Surgery

Background:

• Palpable irregularities of the nasal dorsum are a common complication following rhinoplasty, particularly after dorsal hump resection.
• These irregularities often stem from inadequate management of the nasal dorsum post-resection, impacting aesthetic results.

Purpose of the Study:

• To describe a surgical technique for managing and preventing dorsal irregularities after rhinoplasty.
• To outline key steps and materials for achieving a smooth nasal dorsum and optimal aesthetic outcome.

Main Methods:

• The technique involves careful restructuring of the nasal dorsum after hump resection.
• Key elements include the use of diamond rasps for precise contouring, an autospreader for structural support, and morselized cartilage grafts for camouflage.

Main Results:

• The described surgical approach aims to prevent the formation of palpable irregularities along the nasal dorsum.
• Successful implementation leads to an improved aesthetic result and a smoother nasal contour upon palpation.

Conclusions:

• Proper management and restructuring of the nasal dorsum following resection are crucial in rhinoplasty.
• Employing techniques such as diamond rasps, autospreader, and cartilage camouflage effectively minimizes dorsal irregularities and enhances patient satisfaction.