Facial Plast Surg 2019; 35(05): 446-457
DOI: 10.1055/s-0039-1696653
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reductive Nasal Profileplasty

Scott Shadfar
1   Aesthetic Institute of Oklahoma, Edmond, Oklahoma
› Author Affiliations
Further Information

Publication History

Publication Date:
22 October 2019 (online)

Abstract

Reductive nasal profileplasty is often the pillar of aesthetic nasal surgery. The surgeon must be knowledgable in the key tenants of preoperative analysis and examination to better approach the core elements for hump takedown. Photo imaging or morphing is a practical and technically easy means to open the discussion with the patients to determine their specific goals and ensure that these goals align with their needs functionally. Various approaches can be taken dependent upon the demands from the patient's anatomy and surgical goals planned preoperatively. The component resection technique is described in detail, as well as discussions regarding the need to predict and prophylactically treat the possible long- and short-term sequelae that can occur with reductive nasal profileplasty. Complementary procedures should also be considered to achieve the most balanced nasal and facial aesthetic.

 
  • References

  • 1 Heppt WJ, Vent J. The facial profile in the context of facial aesthetics. Facial Plast Surg 2015; 31 (05) 421-430
  • 2 Perkins S, Patel A. Endonasal suture techniques in tip rhinoplasty. Facial Plast Surg Clin North Am 2009; 17 (01) 41-54 , vi
  • 3 Behrbohm H, Tardy ME, Behrbohm H. Essentials of Septorhinoplasty: Philosophy, Approaches, Techniques. 3rd ed. Stuttgart/New York: Thieme Publishers; 2017: 11
  • 4 Byrd HS, Hobar PC. Rhinoplasty: a practical guide for surgical planning. Plast Reconstr Surg 1993; 91 (04) 642-654 , discussion 655–656
  • 5 Krane NA, Markey JD, Moneta LB, Kim MM. Aesthetics of the nasal dorsum: proportions, light, and shadow. Facial Plast Surg 2017; 33 (02) 120-124
  • 6 Mowlavi A, Meldrum DG, Wilhelmi BJ. Implications for nasal recontouring: nasion position preferences as determined by a survey of white North Americans. Aesthetic Plast Surg 2003; 27 (06) 438-445
  • 7 Barrett DM, Casanueva F, Wang T. Understanding approaches to the dorsal hump. Facial Plast Surg 2017; 33 (02) 125-132
  • 8 Çakir B, Doğan T, Öreroğlu AR, Daniel RK. Rhinoplasty: surface aesthetics and surgical techniques. Aesthet Surg J 2013; 33 (03) 363-375
  • 9 Simons R. Nasal tip projection, ptosis, and supratip thickening. . ENT J 1982; 61 (08) 452-455
  • 10 Crumley RL, Lanser M. Quantitative analysis of nasal tip projection. Laryngoscope 1988; 98 (02) 202-208
  • 11 Frodel J, Papel ID. Facial plastic and reconstructive surgery. In: Facial Analysis of the Rhinoplasty Patient. New York, NY: Thieme Publishers; 2002: 18
  • 12 Hall JA, Peters MD, Hilger PA. Modification of the Skoog dorsal reduction for preservation of the middle nasal vault. Arch Facial Plast Surg 2004; 6 (02) 105-110
  • 13 Tebbetts JB. Primary Rhinoplasty: A New Approach to the Logic and the Techniques. 2nd ed. St. Louis, MO: Mosby; 2008: 12
  • 14 Bloom JD, Ransom ER, Antunes MB, Becker DG. Quantifying the sharpness of osteotomes for dorsal hump reduction. Arch Facial Plast Surg 2011; 13 (02) 103-108
  • 15 Ransom ER, Antunes MB, Bloom JD, Becker DG. Quantifying osteotome sharpness: comparing the major manufacturers. Otolaryngol Head Neck Surg 2012; 146 (05) 707-711
  • 16 Steiger JD, Baker SR. Nuances of profile management: the radix. Facial Plast Surg Clin North Am 2009; 17 (01) 15-28 , v
  • 17 Gerbault O, Daniel RK, Kosins AM. The role of piezoelectric instrumentation in rhinoplasty surgery. Aesthet Surg J 2016; 36 (01) 21-34
  • 18 Gruber RP, Melkun ET, Woodward JF, Perkins SW. Dorsal reduction and spreader flaps. Aesthet Surg J 2011; 31 (04) 456-464
  • 19 Moubayed SP, Most SP. The autospreader flap for midvault reconstruction following dorsal hump resection. Facial Plast Surg 2016; 32 (01) 36-41
  • 20 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984; 73 (02) 230-239
  • 21 Porter JP, Toriumi DM. Surgical techniques for management of the crooked nose. Aesthetic Plast Surg 2002; 26 (Suppl. 01) S18
  • 22 Brenner MJ, Hilger PA. Grafting in rhinoplasty. Facial Plast Surg Clin North Am 2009; 17 (01) 91-113 , vii
  • 23 Webster RC, Davidson TM, Smith RC. Curved lateral osteotomy for airway protection in rhinoplasty. Arch Otolaryngol 1977; 103 (08) 454-458
  • 24 Dobratz EJ, Hilger PA. Osteotomies. Clin Plast Surg 2010; 37 (02) 301-311
  • 25 González-Ulloa M, Stevens E. The role of chin correction in profileplasty. Plast Reconstr Surg 1968; 41 (05) 477-486