Preparation of the Patient
Surgical restoration of the nose is, with few exceptions, a multistage procedure with a potentially protracted healing period before the final aesthetic outcome is evident. The initial reconstructive procedure is usually the most influential in predicting the aesthetic and functional result. Mucosa, cartilage, and facial skin are limited commodities. If the initial reconstructive effort squanders these resources through poor planning or execution, subsequent options for surgical restoration become more limited. The surgeon must carefully analyze the nasal defect and develop a cohesive surgical plan.