Facial Plast Surg 2019; 35(05): 476-485
DOI: 10.1055/s-0039-1696990
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Complications in Reductive Profileplasty

Stephen W. Perkins
1   Meridian Plastic Surgeons, Indianapolis, Indiana
2   Department of Otolaryngology/Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana
,
Scott Shadfar
3   Aesthetic Institute of Oklahoma, Edmond, Oklahoma
› Author Affiliations
Further Information

Publication History

Publication Date:
22 October 2019 (online)

Abstract

The ability of a surgeon to create an aesthetically pleasing and functionally competent nasal dorsum weighs heavily on following the foundations of rhinoplasty, beginning with the examination and analysis. These same fundamental principles should be used and applied in secondary rhinoplasty. The most common chief complaints of those patients seeking primary rhinoplasty relates to the presence of a hump or dorsal convexity, and similarly complications surrounding the dorsum are the most common indications for secondary rhinoplasty. The surgeon must be able to appropriately evaluate and correct deformities in patients who have already undergone rhinoplasty with dorsal profileplasty. Patients can present with a wide range of postoperative deformities within the bony pyramid or middle vault, including, but not limited to, contour irregularities and internal nasal valve compromise, respectively. The authors will outline the evolving methods by which these techniques can be executed to correct deformities and give a balanced functional and aesthetically pleasing profile.