Affiliation:
1. From the Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco
Abstract
The deviated or asymmetric nose poses multiple challenges to the cosmetic and reconstructive surgeon. Diagnosis, surgical planning, and execution are presented in this article in the ordered form of a surgical algorithm. The algorithm utilizes the external rhinoplasty approach to address asymmetries in the following structures in an individualized yet systematic fashion: nasal septum, upper and lower lateral cartilages, the bony dorsum, and the skin/soft-tissue envelope. A number of techniques are discussed here, some restoring native anatomy, others providing simple camouflage. With experience, excellent functional and cosmetic results can be obtained by following this algorithm.