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Correction of Pollybeak and Dimpling Deformities of the Nasal Tip in the Contracted, Short Nose by the Use of a Supratip Transposition Flap
Dong-Hak Jung, MD;
Ray Yung-Chiou Lin, MD;
Hyeong-Jun Jang, MD;
Henry John Claravall, MD;
Samuel M. Lam, MD
Arch Facial Plast Surg. 2009;11(5):311-319.
Objective To discuss our experiences with the use of a supratip transposition flap to simultaneously correct pollybeak deformity and nasal tip dimpling.
Design From April 1, 2007, through August 31, 2008, 10 Asian women with a contracted, short nose that exhibited nasal tip dimpling were retrospectively included in this study. By use of an open approach, the osteocartilaginous framework was elongated first. If the pollybeak and dimpling deformities of the nasal tip were found after the closure of the transcolumellar incision, a supratip transposition flap was designed to correct the combined deformities over the supratip and nasal tip areas. Finally, bilateral marginal incisions were closed.
Results The follow-up period ranged from 2 to 16 months, with an average of 5 months. No immediate complications were noted in this small series. Four of 10 patients required minor flap revisions, with satisfactory results attained thereafter. All patients were satisfied with the aesthetic result after scar maturation.
Conclusions The use of the supratip transposition flap not only corrects pollybeak deformity but also resolves dimpled nasal tip depression. The techniques presented herein add to the armamentarium of revision rhinoplasty surgeons, especially those dedicated to the treatment of the Asian patient who undergoes rhinoplasty.
Author Affiliations: Shimmian Rhinoplasty Clinic, Seoul, South Korea (Drs Jung, Lin, Jang, and Claravall); Taichung Veterans General Hospital, Taiwan, Republic of China (Dr Lin); and Lam Facial Plastic Surgery Center, Dallas, Texas (Dr Lam).
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