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Journal of the Korean Society for Aesthetic Plastic Surgery 2009;15(2):144-149.
Published online June 1, 2009.
Treatment of Soft Tissue Defect on Nasal Radix after Augmenting Rhinoplasty Using Various Materials.
Kwang Ryeol Lim, Sung Min Ahn, Kyeong Suk Oh, Yong Hui Jung, So Min Hwang
Aesthetic Plastic & Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea. sominhwang@hanmail.net
Abstract
To reconstruct the defect of nasal dorsum, factors such as skin color, texture and thickness should thoroughly be considered for more natural appearance. Authors would like to present 8 cases of soft tissue defect developed after augmentation with various materials that were treated with satisfactory results. This study is based on 8 patients who visited our clinic for the treatment of soft tissue defect on nasal radix after augmentation rhinoplasty. The materials used for augmentation were silicone implant in 5 cases, autologous microfat in 2 cases, and paraffin in 1 case. Guideline for treatment of soft tissue defects developed after augmentation as follows; 1. Soft tissue defects by silicone implant are treated with dressing or closure of the defect after removal of implant. 2. In cases of soft tissue defect after autologous microfat injection, conservative treatment can be recommended at first to increase the chance of microfat survival and infection control. Skin was resurfaced by scar healing or using the advancement local flap. 3. In paraffin injection case, conservative removal of foreign body and several months' wound dressing will obliterate dead space by granulation tissue and minimize the skin defect by wound contraction. Skin defect was reconstructed by advancement local flap.
Key Words: Rhinoplasty, External nose, Soft tissue injury


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