External skin excision in the sebaceous nose and supratip deformity

@article{Lemperle1992ExternalSE,
  title={External skin excision in the sebaceous nose and supratip deformity},
  author={Gottfried Lemperle and Angelika Biewener},
  journal={Aesthetic Plastic Surgery},
  year={1992},
  volume={16},
  pages={303-307}
}
Some sebaceous noses cannot be properly reduced in size because of redundant skin. After standard rhinoplasty some noses develop a supratip deformity that recurs even after subcutaneous removal of the scar tissue. These noses can be corrected only by wedge-shaped skin excision. Most patients much prefer a pleasantly shaped nose, even at the cost of a midline scar on the nose. Most surgeons are hesitant to add scars to the face. However, the vast experience with wounds following accidents, tumor… CONTINUE READING