Abstract
Some sebaceous noses cannot be properly reduced in size because of redundant skin. After standard rhinoplasty some noses develop a supratip deformity that recurs even after subcutaneous removal of the scar tissue. These noses can be corrected only by wedge-shaped skin excision. Most patients much prefer a pleasantly shaped nose, even at the cost of a midline scar on the nose. Most surgeons are hesitant to add scars to the face. However, the vast experience with wounds following accidents, tumor excisions, or corrections of malformations has shown that generally scar formation on the nose is inconspicous. Nineteen patients were treated successfully by skin excision at the time of primary rhinoplasty or by a second operation.
Similar content being viewed by others
References
Coiffman F: External incisions on the nose. Aesth Plast Surg1:363, 1978
Dieffenbach JF: Die operative Chirurgie. Leipzig: F.A. Brockhaus, 1945
Gonzáles-Ulloua M: The fat nose. Aesth Plast Surg8:135, 1984
Hinderer UT: Relationship between the protrusion of the nasal tip and the dorsum in rhinoplasty. Aesth Plast Surg8:201, 1984
Joseph J: Nasenverkleinerungen (mit Krankenvorstellung), Dtsch Med Wochensch30:1094, 1904
Lemperle G: Supratip deformity—a Plexiglas-splint for prevention and treatment of supratip deformity. Plast Reconstr Surg (in press)
Millard DR: External excisions in rhinoplasty. Br Plast Surg12:340, 1960
Pollet J, Gehamo P, Hagege JC: Cutaneous problems in rhinoplasty. Trans 16th Int Congr Plast Reconstr Surg 490, 1976
Rogers BO: John Orlando Roe—not Jacques Joseph—the father of aesthetic rhinoplasty. Aesth Plast Surg10:63, 1986
Webster GV: Skin excisions in reduction rhinoplasty. Aesth Plast Surg8:201, 1984
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lemperle, G., Biewener, A. External skin excision in the sebaceous nose and supratip deformity. Aesth. Plast. Surg. 16, 303–307 (1992). https://doi.org/10.1007/BF01570692
Issue Date:
DOI: https://doi.org/10.1007/BF01570692