Aesthetic reductive rhinoplasty to facilitate reconstruction of the nose.

The authors present an original approach to the problem of the reconstruction of the nasal pyramid after a demolition for neoplasia. Reductive rhinoplasty is done at the same time as demolition, so that the remaining gap in the soft tissues is reduced to the point where it can be repaired with a local flap. The positive aspects of this method are its excellent aesthetic results, comparative ease, and quick execution. The negative aspects are it is limited to defects of less than half of the nasal pyramid and it cannot be used for defects of nostrils; there have also been isolated cases of psychological problems from the sudden physical change.