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Preventing Soft-Tissue Triangle Collapse in Modern Rhinoplasty

Campbell, Carey F. M.D.; Pezeshk, Ronnie A. M.D.; Basci, Deniz S. M.D.; Scheuer, Jack F. M.D.; Sieber, David A. M.D.; Rohrich, Rod J. M.D.

Plastic and Reconstructive Surgery: July 2017 - Volume 140 - Issue 1 - p 33e–42e
doi: 10.1097/PRS.0000000000003480
Cosmetic: Special Topics

Summary: 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.

Supplemental Digital Content is available in the text.

Dallas, Texas

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.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s website (www.PRSJournal.com).

Rod J. Rohrich, M.D., Dallas Plastic Surgery Institute, 9101 North Central Expressway, Suite 600, Dallas, Texas 75231, Rod.rohrich@dpsi.org @DrRodRohrich

©2017American Society of Plastic Surgeons