Document Detail

Correction of the supratip deformity of the nose.
MedLine Citation:
PMID:  23110926     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A supratip deformity can develop either congenitally or after a poorly executed rhinoplasty, as a result of fullness or convexity just above the nasal tip.
OBJECTIVE: In this article, the authors describe the causes of the supratip deformity and present their technique for surgical correction.
METHODS: A retrospective chart review was conducted for 62 consecutive patients (24 primary rhinoplasty and 38 secondary rhinoplasty) treated between January 2005 and February 2010. The authors' approach to managing supratip deformity included a combination of wide undermining of the nasal skin through the open technique; resection of excessive soft tissue and the bony, cartilaginous dorsum; suturing to advance the supratip; and augmentation of the nasal tip and dorsum with cartilage, crushed cartilage, silicone implants, and/or septal extension grafts.
RESULTS: No infection or nasal bleeding was recorded during postoperative follow-up. The supratip and tip projection showed adequate shape in all cases. To assess satisfaction, all patients and 2 independent plastic surgeons were asked to rate the result on a 5-point scale. The average patient satisfaction rating was 4.2 and the average independent rating was 4.4 points.
CONCLUSIONS: Supratip deformities should be corrected according to their unique cause and shape. The authors' method of repairing these deformities has resulted in a low complication rate and yielded satisfactory results.
Seok-Kwun Kim; Ju-Chan Kim; Ju-Chuan Kim; Keun-Cheol Lee; Hyun-Soo Kim
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery     Volume:  32     ISSN:  1527-330X     ISO Abbreviation:  Aesthet Surg J     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-31     Completed Date:  2013-04-23     Revised Date:  2013-05-15    
Medline Journal Info:
Nlm Unique ID:  9707469     Medline TA:  Aesthet Surg J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  943-55     Citation Subset:  IM    
Department of Plastic and Reconstructive Surgery, Dong-A University Hospital, Busan, Korea.
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MeSH Terms
Cartilage / transplantation
Middle Aged
Nose / abnormalities,  surgery*
Nose Deformities, Acquired / etiology,  surgery*
Patient Satisfaction
Prosthesis Implantation
Retrospective Studies
Rhinoplasty / adverse effects,  methods*
Surgical Flaps
Suture Techniques
Treatment Outcome
Young Adult
Erratum In:
Aesthet Surg J. 2013 Mar;33(3):463
Note: Kim, Ju-Chuan [corrected to Kim, Ju-Chan]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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