Aesthetic Reconstruction of the Platyrrhine Nose

Romo, Thomas; Presti, Paul

doi:10.1007/978-3-540-74380-4_71

Cited by 3 publications

(6 citation statements)

References 28 publications

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“…Many authors agree that African American patients seeking rhinoplasty desire a nose that fits their face and enhances nasofacial equilibrium, rather than changing their ethnic characteristics. 10,12,18 This view is consistent with the results of our study, which suggest that African American patients are not looking to change their ethnic features; rather, they want a nose that is in harmony with their other facial features.…”

Section: Commentsupporting

confidence: 91%

“…Many studies, including that of Rohrich and Muzaffar, 12 have found that rhinoplasty is a challenging procedure, and attaining satisfactory results is difficult. [15][16][17][18] It becomes even more challenging when performing rhinoplasty for an African American patient. A surgeon per-forming rhinoplasty for an African American patient should be able to distinguish the various standards of beauty for different ethnic groups.…”

Section: Commentmentioning

confidence: 99%

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Rhinoplasty for African American Patients

Slupchynskyj

Gieniusz

2008

Archives of Facial Plastic Surgery

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Objective:To determine satisfaction, change in selfesteem, and maintenance of ethnic characteristics in African American patients after rhinoplasty.Patients: African American male (n = 21) and female (n=54) patients aged 14 through 58 years (mean,33.8 years) who underwent rhinoplasty.Methods: Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An anonymous questionnaire addressed postoperative patient satisfaction, maintenance of ethnic characteristics, selfesteem, and nasofacial harmony. The rate of complications was determined by medical record review.

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Section: Commentsupporting

confidence: 91%

Section: Commentmentioning

confidence: 99%

Rhinoplasty for African American Patients

Slupchynskyj

Gieniusz

2008

Archives of Facial Plastic Surgery

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“…Many autologous and alloplastic materials have been used including bone, cartilage, polyamide mesh, high-density porous polyethylene, and silicone. 3,6,7,9,17,22,23 We prefer irradiated rib cartilage homografts (Figs. 1-3), which can be carved into the desired shape and, in our hands, has resulted in low rates of warping, resorption, infection, or extrusion.…”

Section: Surgery For the Upper And Middle Thirdmentioning

confidence: 99%

“…22 More recently, authors have also described dome-binding techniques, columellar strut placement, and both shield-type and infralobular tip grafts. 23,27,28 With the tip skin elevated via the open approach, we begin by removing soft tissue from the skin envelope in the region of the tip and supratip in most cases. The skin envelope is retracted superiorly while a finger is positioned on the outside of the skin envelope to constantly assess thickness.…”

Section: Surgery For the Lower Thirdmentioning

confidence: 99%

“…A meticulous, multilayer, tension-free closure is critically important especially after increasing tip projection. 20,23 For the transcolumellar incision, we prefer to place a deep absorbable suture centrally prior to a double cutaneous closure with both interrupted permanent sutures and a running, locking absorbable suture. For the alar base, a single, deep absorbable suture helps Figure 8 Algorithm to determine performing wedge excision alone, wedge excision plus sill excision, or wedge excision plus sill excision plus V-Y advancement.…”

Section: Alar Base Reductionmentioning

confidence: 99%

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African-American Rhinoplasty

Patel

Kridel²

2010

Facial plast Surg

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Increased width, loss of definition, and lack of projection characterize the stereotypical African-American nose. Early rhinoplasty surgeons attempted strict adherence to neoclassical aesthetic ideals. However, in reality, the anatomy and aesthetic desires of these patients are much more complex. Building dorsal height, achieving nasal tip definition amidst thick skin, and producing a more aesthetically pleasing alar base are the major challenges. Surgical planning should be sensitive to both individual and cultural differences in aesthetic perception and expectations. Here we describe the techniques used by the senior author (R.W.H.K.).

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Current Practices in Dorsal Augmentation Rhinoplasty

Fisher

Alba

Ahmad

et al. 2022

Plastic &Amp; Reconstructive Surgery

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orsal augmentation rhinoplasty is used to address the aesthetic and functional impairments caused by a deficient nasal dorsum. Augmentation rhinoplasty can be performed using a variety of different surgical techniques and grafting materials that all have distinct advantages and disadvantages. The surgeon should be familiar with these various options and be able to select the option most appropriate for each patient.In patients with a deficient dorsum, augmentation rhinoplasty may be indicated to restore proper form and function. 1,2 Although dorsal augmentation is a relatively common procedure, it remains a topic of great controversy among plastic surgeons. Today, a multitude of different surgical techniques and graft materials are used in augmentation rhinoplasty, with each option having distinct advantages and disadvantages. 3,4 No one surgical approach or augmentation material is best in every scenario, and the plastic surgeon should be well-versed in all options to create the best surgical plan possible for each patient. This article reviews the current state of augmentation rhinoplasty, including a detailed discussion of the various materials that are currently available for use in dorsal augmentation. INDICATIONSIn all patients, a thorough preoperative nasal analysis should be performed to assess nasal aesthetics and develop a surgical plan. It is also important to provide patients with realistic expectations before surgery to avoid poor patient satis-Great Neck, N.Y.

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Aesthetic Reconstruction of the Platyrrhine Nose

Cited by 3 publications

References 28 publications

Rhinoplasty for African American Patients

Rhinoplasty for African American Patients

African-American Rhinoplasty

Current Practices in Dorsal Augmentation Rhinoplasty

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