Refinement Techniques Open image in new window

  • Sam Naficy
  • Shan R. Baker


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.


Cartilage Graft Lateral Cartilage Spreader Graft Forehead Flap Nasal Reconstruction 
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  1. 1.
    Sheen JH, Sheen A. Aesthetic Rhinoplasty. 2nd ed. St. Louis, MO: Quality Medical Publishing; 1987.Google Scholar
  2. 2.
    Johnson CJ, Toriumi DM. Open Structure Rhinoplasty. Philadelphia, PA: WB Saunders; 1990.Google Scholar
  3. 3.
    Baker SR. Suture contouring of the nasal tip. Arch Facial Plast Surg. 2000;2:34.PubMedCrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 5.
    Yang JY. Intrascar excision for persistent perioral hypertrophic scar. Plast Reconstr Surg. 1996;98:1200.PubMedCrossRefGoogle Scholar
  6. 6.
    Dzubow LM. Scar revision by punch graft transplants. J Dermatol Surg Oncol. 1985;11:1200.PubMedGoogle Scholar
  7. 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. 8.
    Mostafapour SP, Murakami CS. Tissue expansion and serial excision in scar revision. Facial Plast Surg. 2001;17(4):245.PubMedCrossRefGoogle Scholar
  9. 9.
    Singer AJ, Hollander JE, Quinn JV. Evaluation and management of traumatic lacerations. N Engl J Med. 1997;337:1142.PubMedCrossRefGoogle Scholar
  10. 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. 11.
    Borges AF. Improvement of anti-tension lines scar by the “W-plastic” operation. BR J Plast Surg. 1959;12:29.CrossRefGoogle Scholar
  12. 12.
    Tardy ME, Thomas JR, Paschow MS. The camouflage of cutaneous scars. Ear Nose Throat J. 1981;60:61.PubMedGoogle Scholar
  13. 13.
    Yarborough JM. Ablation of facial scars by programmed dermabrasion. J Dermatol Surg Oncol. 1988;14:292.PubMedGoogle Scholar
  14. 14.
    Harmon CB et al. Dermabrasion after scar revision. Dermatol Surg. 1995;21:503.PubMedCrossRefGoogle Scholar
  15. 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.PubMedCrossRefGoogle Scholar
  16. 16.
    Yarborough JM. Ablation of facial scars by programmed dermabrasion. J Dermatol Surg Oncol. 1988;14:292.PubMedGoogle Scholar
  17. 17.
    Collins PS, Farber GA. Postsurgical dermabrasion of the nose. J Dermatol Surg Oncol. 1984;10:476.PubMedGoogle Scholar
  18. 18.
    Gold MH. Dermabrasion in dermatology. Am J Clin Dermatol. 2003;4(7):467.PubMedCrossRefGoogle Scholar
  19. 19.
    Bradley DT, Park SS. Scar revision via resurfacing. Facial Plast Surg. 2001;17(4):253.PubMedCrossRefGoogle Scholar
  20. 20.
    Capon A, Mordon S. Can thermal lasers promote skin wound healing. Am J Clin Dermatol. 2003;4(1):1.PubMedCrossRefGoogle Scholar
  21. 21.
    Anderson RR, Parrish JA. Selective photothermolysis precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220:524.PubMedCrossRefGoogle Scholar
  22. 22.
    Ho C, Nguyen Q, Lowe NJ, et al. Laser resurfacing in pigmented skin. Dermatol Surg. 1995;21:1035.PubMedCrossRefGoogle Scholar
  23. 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.PubMedCrossRefGoogle Scholar
  24. 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.PubMedCrossRefGoogle Scholar
  25. 25.
    Tanzi EL, Alster TS. Treatment of atrophic facial acne scars with a dual-mode Er:YAG laser. Dermatol Surg. 2002;28:551.PubMedCrossRefGoogle Scholar
  26. 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.PubMedCrossRefGoogle Scholar
  27. 27.
    Baker SR. Local Flaps in Facial Reconstruction. 2nd ed. Phila­delphia, PA: Elsevier; 2007.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of Michigan School of MedicineAnn ArborUSA

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