SKIN EXCISION REVISION RHINOPLASTY

A technique of skin excision revision rhinoplasty is described for app lication in patients undergoing rhinoplasty. This group of patients in cludes those with soft-tissue polly beak deformities and a variety of other difficult post-rhinoplasty deformities. Horizontal nasal dorsal skin excision affects tip elevation and eliminates supratip fullness, while vertical midline nasal dorsal skin excision enhances tip definit ion, decreases dorsal height, and eliminates supratip fullness. We des cribe several patients who underwent either horizontal or vertical nas al dorsal skin excision for a variety of cosmetic deformities followin g conventional closed and open rhinoplasty. The techniques presented h erein are meant to be added to the list of techniques available to the revision rhinoplasty surgeon rather than to replace existing techniqu es.