Rhinoplasty and the Nasal SMAS Augmentation Graft

Davis, Richard E.; Wayne, Ivan

doi:10.1001/archfaci.6.2.124

Cited by 16 publications

(26 citation statements)

References 23 publications

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“…For patients with ultrathick skin and a significantly oversized nose, an alternative method for enhancing nasal tip surface definition is surgical debulking of the hypertrophic nasal SMAS layer. 5 Typically, the hypertrophic nasal SMAS not only adds unwanted volume to the SSTE, but it also limits elasticity and compliance. However, SMAS excision can be used to reduce skin thickness and simultaneously improve skin elasticity, compliance, and coaptation.…”

Section: Surgical Management Of Ultrathick Nasal Skinmentioning

confidence: 99%

Surgical Management of the Thick-Skinned Nose

Davis

Hrisomalos

2018

Facial plast Surg

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When executed properly, open structure rhinoplasty can dramatically improve the consistency, durability, and quality of the cosmetic surgical outcome. Moreover, in expert hands, dramatic transformations in skeletal architecture can be accomplished with minimal risk and unparalleled control, all while preserving nasal airway function. While skeletal enhancements have become increasingly more controlled and precise, the outer skin-soft tissue envelope (SSTE) often presents a formidable obstacle to a satisfactory cosmetic result. In noses with unusually thick skin, excessive skin volume and characteristically hostile healing responses frequently combine to obscure or sometimes even negate cosmetic skeletal modifications and taint the surgical outcome. For this challenging patient subgroup, care must be taken to optimize the SSTE using a graduated treatment strategy directed at minimizing skin thickness and controlling unfavorable healing responses. When appropriate efforts are implemented to manage thick nasal skin, cosmetic outcomes are often substantially improved, sometimes even negating the ill-effects of thick skin altogether.

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Section: Surgical Management Of Ultrathick Nasal Skinmentioning

confidence: 99%

Surgical Management of the Thick-Skinned Nose

Davis

Hrisomalos

2018

Facial plast Surg

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“…22,23,[75][76][77][78][79][80][81][82][83] Of these studies, two included data regarding augmentation as well. The majority of these articles dealt with different techniques for improving removal of a dorsal hump and correcting irregularities.…”

Section: Reduction Of the Nasal Dorsummentioning

confidence: 99%

“…The use of a power-assisted rasp was also reported with good results. 77 Table 8 summarizes articles discussing dorsal hump reduction. 22,23,[75][76][77][78][79][80][81][82][83] …”

Section: Reduction Of the Nasal Dorsummentioning

confidence: 99%

Management of the Nasal Dorsum in Rhinoplasty

Lee

Unger

Rohrich

2011

Plastic and Reconstructive Surgery

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“…Davis et al advocate harvest of this layer in thick skin patients with poor tip definition. These authors report satisfactory long term graft preservation when this tissue is reimplanted for camouflage [107]. …”

Section: Grafting Techniquesmentioning

confidence: 99%

Structural grafts and suture techniques in functional and aesthetic rhinoplasty

Gassner

2010

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 9:Doc01; ISSN 1865-1011

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Rhinoplasty and the Nasal SMAS Augmentation Graft

Cited by 16 publications

References 23 publications

Surgical Management of the Thick-Skinned Nose

Surgical Management of the Thick-Skinned Nose

Management of the Nasal Dorsum in Rhinoplasty

Structural grafts and suture techniques in functional and aesthetic rhinoplasty

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