Nasal reconstruction is aimed at restoring form and function to this intricate and prominent feature of your face. Nose reconstruction may necessary in a variety of scenarios: nasal fractures, nasal defects from trauma or cancer removal, nasal collapse from underlying medical conditions or substance abuse, and nasal deformity from congenital abnormalities.
Repair of nasal fractures is the commonest form of nose repair. In most cases, the repair can be performed, within 10 days of the accident, under local anesthesia during an office visit. Occasionally, treatment of a broken nose is performed in delayed fashion as a surgical procedure in the operating room. The delayed treatment is similar to a rhinoplasty (nose job).
Skin cancer removal from the nose may result in defects that are small and superficial or massive and full thickness involving the internal nose. Repair of larger defects is particularly deserving of an expert surgeon who can restore the inner lining, the cartilage or bony framework, and the external skin. A variety of techniques such as skin grafts, local skin flaps, forehead flaps, nasolabial flaps, and cartilage grafts may be required in repair of cancer defects in the nose.
A collapsed nose, also known as a saddle nose deformity, is a devastating deformity that is fortunately rare. The saddle nose deformity is a consequence of loss of support from the septum (the wall inside the nose). Three categories of problems can lead to a collapsed nose: 1. Severe nasal fractures, 2. Underlying medical conditions (e.g. Wegener’s granulomatosis, relapsing polychondritis, and sarcoidosis), and 3. Intra nasal, recreational drug use. The surgical correction involves use of cartilage or bone grafts to support the nose.
Finally, congenital problems can cause abnormalities and distortions of the nose. Patients with cleft lip develop well-recognized deformities involving the tip of the nose. These deformities are best treated upon completion of the nasal growth. Vascular malformations or hemangiomas can cause nasal distortion or dysfunction and can require combination of laser and surgical treatment to restore the nose.
Dr. Khosh has extensive experience in nasal reconstruction from any cause. In the case studies listed below, you may see select examples of various nasal repairs.