Video 4.14: Soft Tissue Redraping in a 56-Year-Old Secondary Patient After a Previous Open Rhinoplasty

What this video shows

Video 4.14 shows the redraping concept in a demanding situation: a 56-year-old woman who had previously undergone an open rhinoplasty. After the dissection, when the thickness of the soft tissue envelope was redistributed, the arched nose and the nasal tip were instantly corrected. The book uses this case to state the first principle of redraping, to redistribute the excess soft tissue envelope by dissecting the area with excess skin and then relocating and re-fixing it.

The technique is divided into five areas according to anatomy: the transition zone at the keystone for the dorsal skin, the deep SMAS attachment at the anterior septal angle for the tip skin, the scroll ligament for the lateral-caudal part and so on, each with its own suture material and method.

Key points

• Elderly, secondary patient with loss of skin elasticity.

• Redistribution of the envelope corrects the arched nose and droopy tip immediately.

• Redraping is organised into five anatomical areas in the book.

In the book: Chapter 4 – Nasal Tip Surgery, section 4.3.11 Soft Tissue Redraping – 4.3.11.1 Surgical Technique, pp. 105–108 of Rhinoplasty in Practice: An Algorithmic Approach to Modern Surgical Techniques (CRC Press, 2021). About the book and all companion videos.

Surgeon: Prof. Dr. Suleyman Tas, plastic, reconstructive and aesthetic surgeon, Istanbul. This video is part of the surgeon-training material of the book; patients considering rhinoplasty in Istanbul can use it to understand the techniques used at Prof. Dr. Suleyman Tas Clinic.