Reconstructive rhinoplasty for the contracted Asian nose

Abstract

A contracted nose deformity is a challenging and distinct complication of rhinoplasty, particularly prevalent among Asian patients due to implant-related complications and infection-induced scar formation. Clinical presentations range from mild nasal tip upturning to severe distortion of nasal structures. This review outlines comprehensive surgical strategies for managing the contracted Asian nose, including wide release of the skin-soft tissue envelope, structural framework reconstruction with autologous rib cartilage, nasal tip elongation, and skin redraping techniques. Special considerations such as platelet-rich plasma, nanofat injection, and hyperbaric oxygen therapy are also discussed. Successful outcomes require meticulous planning, surgical expertise, and realistic patient expectations.

Keywords

Rhinoplasty / contracted nose / Asian nose / reconstructive surgical procedures / autologous graft / rib cartilage / platelet-rich plasma / hyperbaric oxygenation

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