The Virginia Institute for Surgical Arts Blog

What is Nasal Reconstruction? | Plastic Surgery | Fairfax | MiddleburgNasal reconstruction may be required to correct major defects of the nose, which could have occurred by birth or by injury to the nose. The surgeon will use the uninjured side of the nose as a guide to rebuild the nose. The procedure can restore both functional and aesthetic aspects of the nose.

Nasal reconstruction should only be performed by a fully trained and experienced surgeon. Dr. V is a board certified facial plastic surgeon providing nasal reconstruction to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding locations.

 

Surgical Options in Nasal Reconstruction

Depending on the patient’s condition and their aesthetic needs, the surgeon will choose an appropriate nasal reconstruction technique.

 

Simple Suture Closure

If the nasal defects are minor or less than 4 to 5 mm, and limited only to the upper nose area, a simple suture closure technique may be used. Only a small amount of extra skin is available on the nose, which limits the size of the defects that can be sutured and closed. If larger defects are closed with limited skin, it can distort the remaining tip or nostrils.

 

Secondary Intention Healing

Secondary healing is used for small defects on the concave or flat surfaces of the nose. The surgeon will avoid this treatment approach near the convex tip or alar rim in order to prevent distortion of the nasal tip or nostril margins by scar contraction or the creation of a chopped off or blunted tip appearance.

 

Skin Grafts

Skin grafts are typically used for small, superficial defects of the nose. A skin graft is a piece of skin that is initially without blood supply, but when placed upon a vascular bed, it gradually begins to revascularize. For nasal reconstruction, the surgeon may take skin grafts from the front or behind of the ear or from the neck.

The usefulness of the graft will be determined by the size, depth and location of the nasal defect. The restoration may appear less than normal, but it can be an effective solution in various nasal reconstruction cases.

 

Local Flaps

Unlike skin grafts, local flaps provide a more natural looking color and texture. However, they do not add skin to the nose, but simply share remaining skin around the nose. It is important to use local flaps cautiously to avoid distortion of the nasal tip or nostril margin because of the limited availability of excess nasal skin. Local flap technique is best applied when the defect is superficial and less than 15 mm in size.

 

Regional Flaps

In regional flap technique, the surgeon will move excess tissue from facial areas adjacent to the nose, such as the nasolabial fold or from the forehead. Larger or more complex nasal repairs can be performed with this technique, depending on the size, shape, depth and location of the wound. The procedure appears more complicated, but often creates more sustainable and effective outcomes.

Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and nearby areas for nasal reconstruction surgery.

 

For more infomation please contact Dr. V. Dr. Trang Thuy Vo-Nguyen, known to her patients as “Dr. V,” is a board certified facial plastic surgeon providing the latest surgical and non-surgical aesthetic procedures in Northern Virginia, Leesburg, Ashburn, Reston, Chantilly, Loudoun, Fairfax, Warrenton, Fauquier, Arlington, Manassas, Middleburg, Prince William, and other surrounding Virginia and Washington DC areas. https://thevirginiainstitute.com/contact-us/

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Nasal Reconstruction Northern Virginia | Fairfax | Loundon VA Plastic SurgeonNASAL RECONSTRUCTION

The nose is a crucially important structure in terms of facial identity and aesthetics, and it is also creates the most complex and difficult challenges in terms of surgical reconstruction after nasal injury or trauma. Nasal reconstructive surgery is performed to address and repair nasal deformities or structural defects produced by:

  • Previous rhinoplasty surgery
  • Surgery for the treatment of cancer
  • Congenital (genetic) malformations
  • Injury or trauma to the nasal region

NASAL RECONSTRUCTION PROCEDURAL OPTIONS

At The Virginia Institute for Surgical Arts, located in Chantilly, Virginia, esteemed facial plastic surgeon Dr. Trang Vo-Nguyen (Dr. V) utilizes cutting edge nasal reconstruction surgical techniques in order to facilitate the safe and effective treatment of a trauma or injury to the nasal region, or to address structural issues stemming from a congenital nasal defect. After conducting a thorough assessment of your medical history and evaluating the structural anatomy of your face, Dr. V will create a customized treatment plan that includes one or more of the following reconstructive nasal surgery techniques:

  • Skin Graft: primarily utilized for the treatment of small or superficial nasal defects, a skin graft is frequently taken from the neck, forehead, or behind or in front of the ear. Skin grafts may be employed as a nasal reconstruction repair technique either immediately after the wound has occurred, or a week or two later (“delayed” graft) if the wound needs time to properly vascularize.   Although skin grafts may be a suitable option for small wounds, the color and texture of the graft can be unpredictable and may not perfectly match the skin adjacent to the nasal region.
  • Local Flaps: small nasal defects may be treated with local skin flaps, which redistribute skin from the upper nose to cover a defect within the inferior dorsum and tip. Because there is such a small amount of excess nasal skin, local flaps are only appropriate for small (less than 1.5 cm), superficial wounds.  Although these procedures do result in a small scar, the flap technique offers the benefit of creating a more reliable texture and color match than can be achieved with skin grafts.
  • Regional Flaps: regional flaps reposition excess tissue from facial areas adjacent to the nose (i.e. nasolabial fold, forehead) in order to cover a nasal defect or wound.  Nasolabial flaps may be performed as a single outpatient procedure, or (for deeper defects) a two stage nasolabial flap, involving two surgeries spaced 3-4 weeks apart.
  • Forehead Flap: the skin of the forehead often serves as an excellent donor site for reconstructive nasal repairs because of the similar color and texture. A forehead flap is appropriate for nasal defects that are deep, larger than 1.5 cm, or require cartilage support and lining replacement. Forehead flap procedures may be performed in two or three stages, depending upon the severity of the defect, and are typically performed under general anesthesia.

CONTACT THE VIRGINIA INSTITUTE FOR SURGICAL ARTS

In order to ensure that you receive optimally effective treatment for your nasal injury or defect, it is important that you select a physician with in-depth knowledge of facial anatomy and the delicate nasal structures, such as Dr. Trang Thuy Vo-Nguyen (Dr. V). Dr. V has the background, experience, and clinical skill-set to create customized treatment plans that are designed to safely and effectively repair your nasal injury with reconstructive nasal surgery.

Dr. V is double board certified in the field of Facial Plastic and Reconstructive Surgery, and through her extensive training, experience, and achievements, she has built a reputation as one of the leading facial plastic surgeons in the nation.  If you are interested in learning more about nasal reconstructive surgery to repair your nasal trauma or congenital defect, please contact The Virginia Institute for Surgical Arts today. We look forward to speaking with you, and to scheduling your initial consultation with Dr. V.

Please call 703-327-8200 or Click Here to Schedule a Consultation.

 

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Limited Time

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THE FALL CAPSULE COLLECTION 2022

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to receive an exclusive Louis Vuitton gift.

Starting minimum purchase at $5,000

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