Dorsal Failures: From Saddle Deformity to Pollybeak

Area of Science:

• Plastic Surgery
• Facial Anatomy
• Surgical Complications

Background:

• The nasal dorsum is a key aesthetic and functional component in rhinoplasty.
• Surgical assessment of the nasal dorsum is difficult due to local anesthetic and edema.
• Dorsal modifications are a common reason for patients seeking rhinoplasty.

Purpose of the Study:

• To review common complications associated with nasal dorsal modification during rhinoplasty.
• To highlight challenges in assessing surgical changes to the nasal dorsum.
• To provide insights into managing potential adverse outcomes of dorsal rhinoplasty.

Main Methods:

• Literature review of complications related to nasal dorsum surgery.
• Analysis of common adverse outcomes in rhinoplasty involving dorsal augmentation or reduction.
• Discussion of factors contributing to dorsal modification problems.

Main Results:

• Common complications include over/underresection, inadequate/overaugmentation, open-roof deformity, pollybeak, and saddle nose.
• Aesthetic issues such as inverted-V deformity, warped cartilage, visible grafts, and contour irregularities are frequently observed.
• Graft-related complications like malposition and extrusion can occur.

Conclusions:

• Nasal dorsal modification in rhinoplasty presents significant challenges and potential for complications.
• Careful surgical technique and accurate intraoperative assessment are crucial to minimize adverse outcomes.
• Understanding and anticipating these common problems are essential for successful rhinoplasty outcomes.