Before proceeding with scar-revision surgery, researchers urge surgeons to address the skin specifically in secondary rhinoplasty, as the change in skin elasticity and contour are essential to best resolve a patient’s aesthetic concerns.
Researchers retrospectively reviewed 28 patients who underwent surgery in a Seoul, South Korea clinic to correct a contracted nose with nasal scars secondary to previous rhinoplasties.
Patient satisfaction was assessed postoperatively using a 3-point Likert scale (3, satisfied; 2, fairly satisfied and 1, dissatisfied). Two surgeon-peers also gave a score of 1 (indicating poor aesthetic outcome) to 10 (best possible outcome).
Eleven patients were treated with a unilobed flap (39.2%), four received a bilobed flap (14.2%), three underwent Z-plasty (10.7%), nine were treated with soft-tissue interposition (32.1%) and one patient received a transposition flap (3.5%)
Local flaps are best as they match best in color and contour, the researchers noted
The majority of patients (n=24; 85.7%), were satisfied with their outcomes and four (14.3%) were dissatisfied and given a revision procedure.
The surgeon-reviewed outcome scores were 8 for unilobed flap, 8 for bilobed flap, 7.5 for transposition flap and 7.8 for Z-plasty. – by Abigail Sutton
Disclosure: The researchers reported no relevant financial disclosures.