This Article  • Full text  • PDF  • Correction  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Related letter  • Related article  • Similar articles in this journal  Topic Collections  • Reconstructive Facial Surgery  • Alert me on articles by topic

Arch Facial Plast Surg. 1999;1:16-18.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

SHUMRICK ET AL have written a good article; it introduces an important method for analyzing aesthetic results. But there is a flaw at its core. The subunit principle is appealing, but other variables are far more important to the aesthetic success of nasal reconstruction: (1) thinning the flap correctly, (2) matching flap edges to the recipient site, (3) giving the flap a normal or beautiful contour with a shapely subcutaneous cartilage framework, and (4) bracing the flap's marginal scars with thin platforms of cartilage, especially along the alar margin. These are the things that determine success far more than the relatively subtle effect of the subunit principle. If these techniques are applied artistically, a normal nose can result even when the subunits are entirely ignored (Figure 1). Shumrick et al have wrongly attributed the entire success or failure of their cases to their use of the subunit priniple.

Figure appears in full text version. . . . [Full Text of this Article]

RELATED LETTER

Modification of the Subunit Principle
Kevin A. Shumrick, Andrew Campbell, Ferdinand F. Becker, and Ira D. Papel
Arch Facial Plast Surg. 1999;1(2):136-137.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Modification of the Subunit Principle for Reconstruction of Nasal Tip and Dorsum Defects
Kevin A. Shumrick, Andrew Campbell, Ferdinand F. Becker, and Ira D. Papel
Arch Facial Plast Surg. 1999;1(1):9-15.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Triple-Flap Technique for Reconstruction of Large Nasal Defects
Wild and Hybarger
Arch Facial Plast Surg 2001;3:17-21.
ABSTRACT | FULL TEXT  

Modification of the Subunit Principle
Shumrick et al.
Arch Facial Plast Surg 1999;1:136-137.
FULL TEXT