Facial Plast Surg 2019; 35(05): 492-498
DOI: 10.1055/s-0039-1695726
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dorsal Augmentation in Facial Profiloplasty

Yong Ju Jang
1   Department of Otolaryngology, Asan Medical Center, Songpa-gu, Seoul, Republic of Korea
,
Shin Hyuk Yoo
1   Department of Otolaryngology, Asan Medical Center, Songpa-gu, Seoul, Republic of Korea
› Author Affiliations
Further Information

Publication History

Publication Date:
22 October 2019 (online)

Abstract

Nasal profile line has central importance in forming an aesthetically balanced facial profile. Thus, rhinoplasty is a critically necessary surgery in shaping ideal profile line. For successful rhinoplasty, meticulous preoperative evaluation and proper planning should be performed before surgery. The nasal dorsum is the broadest and most prominent part of the nose; any minor imperfection is readily appreciated by an observer. Thus, dorsal augmentation is one of the most challenging areas in rhinoplasty as there is virtually no single ideal graft material and method for the nasal dorsum, which is free of aesthetic complication The surgeon should be able to discern the pattern of the abnormal nasal profile and to strategize the best possible surgical option to create a long-lasting, aesthetically pleasing dorsal line in good harmony with the overall facial profile. This study addresses our strategy to deal with various types of aesthetically unpleasant nasal profile line. The characteristics of augmentation materials and considerations in surgical technique are also addressed.