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Facial Plast Surg 2018; 34(03): 255-260
DOI: 10.1055/s-0038-1653987
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Twisted Nose: What to Do When It's Not Straight

Joseph R. Gonzalez
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado
,
Andrew A. Winkler
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado
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Publication History

Publication Date:
01 June 2018 (online)

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Abstract

Septorhinoplasty is among the most common facial plastic and reconstructive surgeries and its complexities are reflected in a relatively high revision rate. The patient with a postoperative twisted nose presents an additional challenge and requires that the surgeon display empathy and possess a deep knowledge of the aesthetic and functional intricacies of the nose. Correction of the twisted nose should be approached in a systematic fashion with unique considerations for each “third” of the nose. While there are many options in the overall surgical armamentarium, each surgeon will find specific techniques that are most efficacious and reproducible for their individual practice. This article discusses select surgical “pearls” and techniques that can aid the surgeon in their own surgical decision-making.

Keywords

revision rhinoplasty - acquired nasal deformity - osteotomy - caudal septal deviation - twisted nose