Skip to main content

Refinement Techniques

  • Chapter
  • First Online:
  • 2996 Accesses

Abstract

Nasal reconstruction begins with transfer of tissue of volume and surface area similar to those of the missing tissues. Depending on the nature of the defect and the type of skin flap used, some amount of sculpting of the subcutaneous tissues of the covering flap may be necessary. With increasing experience and skill of the surgeon, a greater level of refinement may be achieved in the initial stages of reconstruction. However, for complex nasal repairs, it is often necessary to perform additional staged procedures aimed at improving the final esthetic outcome.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Sheen JH, Sheen A. Aesthetic Rhinoplasty. 2nd ed. St. Louis, MO: Quality Medical Publishing; 1987.

    Google Scholar 

  2. Johnson CJ, Toriumi DM. Open Structure Rhinoplasty. Philadelphia, PA: WB Saunders; 1990.

    Google Scholar 

  3. Baker SR. Suture contouring of the nasal tip. Arch Facial Plast Surg. 2000;2:34.

    Article  PubMed  CAS  Google Scholar 

  4. Engrave LH, Gottlieb JR, Millard SP, et al. A comparison of intramarginal and extramarginal excision of hypertrophic burn scars. Plast Reconstr Surg. 1988;81:40.

    Article  Google Scholar 

  5. Yang JY. Intrascar excision for persistent perioral hypertrophic scar. Plast Reconstr Surg. 1996;98:1200.

    Article  PubMed  CAS  Google Scholar 

  6. Dzubow LM. Scar revision by punch graft transplants. J Dermatol Surg Oncol. 1985;11:1200.

    PubMed  CAS  Google Scholar 

  7. Regan JR, Frost TW. Scar revision and camouflage. In: Baker SR, Swanson NA, eds. Local Flaps in Facial Reconstruction Surgery. St. Louis, MO: CV Mosby; 1995:587.

    Google Scholar 

  8. Mostafapour SP, Murakami CS. Tissue expansion and serial excision in scar revision. Facial Plast Surg. 2001;17(4):245.

    Article  PubMed  CAS  Google Scholar 

  9. Singer AJ, Hollander JE, Quinn JV. Evaluation and management of traumatic lacerations. N Engl J Med. 1997;337:1142.

    Article  PubMed  CAS  Google Scholar 

  10. Holt GR. Treatment of trap-door scars. In: Thomas JR, Hold GR, eds. Facial Scars: Incisions, Revision, and Camouflage. St. Louis, MO: CV Mosby; 1989.

    Google Scholar 

  11. Borges AF. Improvement of anti-tension lines scar by the “W-plastic” operation. BR J Plast Surg. 1959;12:29.

    Article  Google Scholar 

  12. Tardy ME, Thomas JR, Paschow MS. The camouflage of cutaneous scars. Ear Nose Throat J. 1981;60:61.

    PubMed  Google Scholar 

  13. Yarborough JM. Ablation of facial scars by programmed dermabrasion. J Dermatol Surg Oncol. 1988;14:292.

    PubMed  Google Scholar 

  14. Harmon CB et al. Dermabrasion after scar revision. Dermatol Surg. 1995;21:503.

    Article  PubMed  CAS  Google Scholar 

  15. Katz B, Oca A. A controlled study of the effectiveness of spot dermabrasion on the appearance of surgical scars. J Am Acad Dermatol. 1991;24:462.

    Article  PubMed  CAS  Google Scholar 

  16. Yarborough JM. Ablation of facial scars by programmed dermabrasion. J Dermatol Surg Oncol. 1988;14:292.

    PubMed  Google Scholar 

  17. Collins PS, Farber GA. Postsurgical dermabrasion of the nose. J Dermatol Surg Oncol. 1984;10:476.

    PubMed  CAS  Google Scholar 

  18. Gold MH. Dermabrasion in dermatology. Am J Clin Dermatol. 2003;4(7):467.

    Article  PubMed  Google Scholar 

  19. Bradley DT, Park SS. Scar revision via resurfacing. Facial Plast Surg. 2001;17(4):253.

    Article  PubMed  CAS  Google Scholar 

  20. Capon A, Mordon S. Can thermal lasers promote skin wound healing. Am J Clin Dermatol. 2003;4(1):1.

    Article  PubMed  Google Scholar 

  21. Anderson RR, Parrish JA. Selective photothermolysis precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220:524.

    Article  PubMed  CAS  Google Scholar 

  22. Ho C, Nguyen Q, Lowe NJ, et al. Laser resurfacing in pigmented skin. Dermatol Surg. 1995;21:1035.

    Article  PubMed  CAS  Google Scholar 

  23. Bernstein LJ, Kauvar AN, Grossman MC, et al. Scar resurfacing with high-energy, short-pulsed and flash scanning carbon dioxide lasers. Dermatol Surg. 1998;24:101.

    Article  PubMed  CAS  Google Scholar 

  24. Cotton J, Hood AF, Gonin R, et al. Histologic evaluation of preauricular and postauricular human skin after high-energy, short pulse carbon dioxide laser. Arch Dermatol. 1996;132(4):425.

    Article  PubMed  CAS  Google Scholar 

  25. Tanzi EL, Alster TS. Treatment of atrophic facial acne scars with a dual-mode Er:YAG laser. Dermatol Surg. 2002;28:551.

    Article  PubMed  Google Scholar 

  26. Nehal KS, Levine VJ, Ross B, Ashonoff R. Comparison of high-energy pulsed carbon dioxide laser resurfacing and dermabrasion in the revision of surgical scars. Dermatol Surg. 1998;24:647.

    Article  PubMed  CAS  Google Scholar 

  27. Baker SR. Local Flaps in Facial Reconstruction. 2nd ed. Phila­delphia, PA: Elsevier; 2007.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shan R. Baker .

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Naficy, S., Baker, S.R. (2011). Refinement Techniques . In: Principles of Nasal Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89028-9_15

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-89028-9_15

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-89027-2

  • Online ISBN: 978-0-387-89028-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics