Arch Aesthetic Plast Surg.  2015 Feb;21(1):23-25. 10.14730/aaps.2015.21.1.23.

Fractional Photothermolysis of a Replanted Nose: A Case Report

Affiliations
  • 1Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea. mdki67@inha.ac.kr
  • 2Department of Plastic and Reconstructive Surgery, Gwang Myung Sung Ae General Hospital, Gwangmyeong, Korea.

Abstract

Although several cases of successful reconstruction of complete nasal amputations have been reported, reconstruction of a traumatic amputated nose remains a challenge both aesthetically and functionally. Even if replantation of the nasal tip is successful, the scar on the nose may develop an irregular appearance, an ill-fitting contour, a trap door deformity, or discoloration. In the predominant nasal tip, these suboptimal results are very stressful for patient. There are no guidelines for both management and postoperative care of traumatic nasal amputation. At the completion of laser scar revision after successful replantation, we present an excellent aesthetic outcome using the 1,550-nm fractional erbium-glass laser (MOSAIC(R), Lutronic Co. Ltd, Seoul, Korea). Based on our experience, a microvascular replantation followed by fractional non-ablative laser therapy was not harmful and was available to maximize the aesthetic outcomes.

Keyword

Laser therapy; Photothermolysis; Replantation; Nose

MeSH Terms

Amputation
Cicatrix
Congenital Abnormalities
Humans
Laser Therapy
Nose*
Postoperative Care
Replantation
Seoul
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