The surgical methods of the contracted nose.
The correction needs a lot of work because the skin is contracted with decreased elasticity, the framework is damaged and weak, and often the inner mucosa is deficient.
In severe cases, rib cartilage is must material for grafting and wide skin undermining to move it downwards is necessary.
Not infrequently, a staged operation is required.
Deficiency inside the nose needs a composite graft from the ear.
With all these efforts, the result is often not satisfactory.
The key point for the satisfactory result is lengthening the alar compartment with lengthening of the central tip compartment.
When the tip and alar lobules are not in harmony, the result is unsatisfactory.