The unique anatomy of the soft-tissue triangle makes it prone to notching in primary, secondary, and reconstructive rhinoplasty. Understanding the anatomy of the region is critical to appropriate treatment. This article is meant to further clarify the anatomy of the soft-tissue triangle and to present the senior author’s (R.J.R.) approach to proactive correction and prevention of soft-tissue triangle notching through five key steps: (1) precise dissection and incision placement, (2) providing internal support with cartilage grafting if needed, (3) closure of dead space, (4) avoiding undue tension during closure, and (5) providing external support postoperatively.
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From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Received for publication March 24, 2016; accepted October 24, 2016.
Disclosure: No funding was received for this article. Rod J. Rohrich, M.D., receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Medical Publishing. The other authors have no financial interest to declare in relation to the content of this article.
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Rod J. Rohrich, M.D., Dallas Plastic Surgery Institute, 9101 North Central Expressway, Suite 600, Dallas, Texas 75231, Rod.email@example.com @DrRodRohrich