A valuable resource for cosmetic and reconstructive surgeons at all levels of training and expertise, Rhinoplasty: A Case-Based Approach offers systematic, expert coverage of both common and complex rhinoplasty procedures performed in today’s practice. Each chapter offers a carefully written teaching case that outlines essential information related to fundamental aspects of the condition—all from the world’s leading experts in rhinoplasty and aesthetic surgery. Numerous high-quality illustrations and procedural videos help you master the techniques that lead to optimal outcomes and increased patient satisfaction.
Presents more than 150 teaching cases that represent the full range of today’s practice of cosmetic surgery. Cases are ones most commonly seen, or those that have significant implications for modern clinical practice.
Provides the presentation, physical exam findings, and laboratory and imaging studies for each case, along with an analysis of treatment options, complications, selected references, and other relevant information.
Reflects real-life clinical perspectives, presenting patients as they would before a surgery, followed by an expert walk-through of the procedure.
Features high-quality clinical images and clear anatomical artwork, as well as procedural videos for real-time visual guidance.
Shares the experience and knowledge of internationally renowned surgeons who draw from different training backgrounds to provide a multidisciplinary approach to the vast array of patient desires for beauty and functionality.
1. Section 1: Introduction - p. xiv 2. 1. Ethnicity, Race and Culture: Its Influence on Rhinoplasty - p. 1 3. 2. Nasal Anatomy - p. 7 4. Section 2: Patient Assessment - p. 14 5. 3. The Initial Examination - p. 16 6. 4. Photography in Rhinoplasty - p. 20 7. 5. Three-Dimensional Imaging in Rhinoplasty - p. 23 8. Section 3: Nasal Airway Obstruction - p. 27 9. Part I: Septoplasty - p. 27 10. 6. Conservative/Simple Septoplasty - p. 28 11. 7. Advanced Septoplasty: Correction of Caudal Septal Deflection - p. 31 12. 8. Advanced Septoplasty: Correction of Dorsal Deflections - p. 35 13. 9. Advanced Septoplasty: Extracorporeal Septoplasty—Septal Reconstruction - p. 39 14. Part II: Turbinate Hypertrophy - p. 51 15. 10. Medical Management of Turbinate Hypertrophy - p. 53 16. 11. Functional Turbinoplasty - p. 56 17. 12. Turbinate Reduction Techniques in Rhinoplasty - p. 63 18. Section 4: Graft Harvesting Techniques - p. 66 19. 13. Septal Graft: Preparation of Crushed Cartilage - p. 67 20. 14. Septal Graft: Graft Harvesting Technique - p. 72 21. 15. Conchal Cartilage Harvest (Anterior Approach) - p. 75 22. 16. Conchal Cartilage Harvest (Postauricular Approach) - p. 79 23. 17. Technique for Harvesting Deep Temporal Fascia - p. 83 24. 18. Temporalis Fascia: Neck Hairline Incision - p. 86 25. 19. Costal Cartilage Harvest - p. 88 26. Section 5: The Dorsum - p. 93 27. Part I: Overprojected Dorsum - p. 93 28. 20. Composite Hump Resection - p. 94 29. 21. Component Hump Reduction With Midvault Reconstruction - p. 99 30. 22. Component Hump Resection With Placement of Spreader Grafts - p. 103 31. 23. Dorsal Hump Reduction With Simple Suturing - p. 107 32. 24. Dorsal Hump Deformity in Compromised Internal Valve - p. 112 33. Part II: Nasal Radix Augmentation - p. 115 34. 25. Nasal Radix Augmentation With Crushed Cartilage - p. 116 35. 26. Nasal Radix Augmentation With Temporalis/Mastoid Fascia Harvested Through Postauricular Approach - p. 120 36. 27. Dorsal Nasal Augmentation With Fascia Overlying Crushed Cartilage (Sandwich Technique) - p. 124 37. 28. Internal Lateral and Medial Osteotomy - p. 127 38. 29. External Percutaneous Lateral and Transverse Osteotomies - p. 130 39. 30. Advances in Rhinoplasty—Piezoelectric Nasal Osteotomy - p. 136 40. Section 6: Nasal Tip - p. 141 41. Part I: Tip Refining - p. 141 42. 31. Suture Tip Rhinoplasty - p. 142 43. 32. Boxy Tip: Combination of Techniques - p. 147 44. 33. Tip Grafting - p. 152 45. Part II: Overprotected Tip - p. 156 46. 34. Lateral Crural Overlay - p. 157 47. 35. Medial Crural Overlay - p. 160 48. 36. Dome Division - p. 163 49. Part III: Tip Underprojection - p. 167 50. 37. Structural Reconstruction in Difficult Secondary Cases - p. 167 51. 38. Dorsum Reconstruction and Osteoplasty Using Hand Instruments - p. 173 52. 39. Lateral Crural Steal (LCS) - p. 180 53. 40. Creating Adequate Projection With Closed Rhinoplasty - p. 183 54. Part IV: Elongation of Short Nose - p. 189 55. 41. Dynamic Adjustable Rotational Tip Tensioning Technique - p. 190 56. 42. Tongue and Groove Technique for Nose Elongation - p. 197 57. 43. Tongue-in-Groove Technique - p. 200 58. Part V: Underrotated Tip - p. 202 59. 44. Tip Rotating in a Droopy Tip: Endonasal Approach - p. 203 60. 45. Reductive Rhinoplasty - p. 207 61. Part VI: Cephalic Malpositioning - p. 211 62. 46. Cephalic Malpositioning: Use of Lateral Crural Strut Graft - p. 212 63. 47. Cephalic Malpositioning: Use of Alar Contouring Grafts - p. 216 64. Section 7: Nasal Base Surgery - p. 220 65. 48. Alar Preservation Rhinoplasty - p. 221 66. 49. Correction of the Wide Nasal Base - p. 226 67. 50. Nasal Base Modification - p. 229 68. Section 8: Preservation Rhinoplasty - p. 232 69. 51. Lateral Crural Turn-In Flap (Preservation Tip Plasty) - p. 233 70. 52. Preservation Rhinoplasty (Tip Plasty) - p. 237 71. 53. K-Area Preservation in Primary Rhinoplasty - p. 249 72. 54. Dorsal Preservation in Rhinoplasty: A Deviated Nose - p. 259 73. Section 9: Nonsurgical Rhinoplasty - p. 261 74. 55. Fat Grafting for Rhinoplasty - p. 262 75. 56. Medical Aesthetic Rhinoplasty—Liquid Rhinoplasty - p. 266 76. Section 10: Ethnic Rhinoplasty - p. 272 77. 57. Dorsal Augmentation Using Glued Diced Costal Cartilage With Fascial Cap in Asian Nose - p. 273 78. 58. Indo-Aryan Nose - p. 278 79. 59. The Middle Eastern Nose - p. 284 80. 60. The Persian Nose: Characteristics and Management - p. 290 81. 61. Latino Nose - p. 296 82. 62. Grecian Nose - p. 302 83. 63. Rhinoplasty in the Caucus Nose - p. 305 84. 64. Russian Nose - p. 310 85. 65. Northern European Nose - p. 315 86. 66. The English Nose - p. 320 87. 67. African American Nose - p. 324 88. 68. Hispanic Nose - p. 332 89. 69. Brazilian Nose - p. 335 90. 7070. The Mixed Race Nose (Mestizo Nose) - p. 340 91. Section 11: Complicated Rhinoplasty - p. 345 92. 71. Crooked Nose: Effective Treatment Strategies for Bony Contouring - p. 346 93. 72. Rhinoplasty in Thick-Skinned Patients - p. 354 94. 73. Rhinoplasty in the Aging Nose - p. 359 95. 74. Rhinoplasty in Cleft Lip and Palate Patients - p. 363 96. 75. Simultaneous Orthognathic and Rhinoplasty Surgery - p. 381 97. Section 12: Complications and Revision Rhinoplasty - p. 385 98. 76. Management of the Ischemic Nose - p. 386 99. Part I: Tip Deformities - p. 389 100. 77. Alar Pinch Deformity - p. 390 101. 78. Correction of the Pinch Deformity by Alar Batten Graft - p. 396 102. Part II: Dorsal Deformities - p. 399 103. Part IIDorsal Deformities7979. Correction of Overresection With Crushed Cartilage - p. 400 104. 80. Correcting the Overresected Nose - p. 404 105. 81. Correction of Overresection With Non-Rib Cartilage Wrapped in Fascia - p. 409 106. 82. Correction of Overresection With Diced Cartilage Injection - p. 418 107. 83. Diced Cartilage Glue Graft for Nasal Augmentation - p. 423 108. Index - p. 427 109. Confidence is ClinicalKey - p. 434
A valuable resource for cosmetic and reconstructive surgeons at all levels of training and expertise, Rhinoplasty: A Case-Based Approach offers systematic, expert coverage of both common and complex rhinoplasty procedures performed in today’s practice. Each chapter offers a carefully written teaching case that outlines essential information related to fundamental aspects of the condition—all from the world’s leading experts in rhinoplasty and aesthetic surgery. Numerous high-quality illustrations and procedural videos help you master the techniques that lead to optimal outcomes and increased patient satisfaction.
Presents more than 150 teaching cases that represent the full range of today’s practice of cosmetic surgery. Cases are ones most commonly seen, or those that have significant implications for modern clinical practice.
Provides the presentation, physical exam findings, and laboratory and imaging studies for each case, along with an analysis of treatment options, complications, selected references, and other relevant information.
Reflects real-life clinical perspectives, presenting patients as they would before a surgery, followed by an expert walk-through of the procedure.
Features high-quality clinical images and clear anatomical artwork, as well as procedural videos for real-time visual guidance.
Shares the experience and knowledge of internationally renowned surgeons who draw from different training backgrounds to provide a multidisciplinary approach to the vast array of patient desires for beauty and functionality.
1. Section 1: Introduction - p. xiv 2. 1. Ethnicity, Race and Culture: Its Influence on Rhinoplasty - p. 1 3. 2. Nasal Anatomy - p. 7 4. Section 2: Patient Assessment - p. 14 5. 3. The Initial Examination - p. 16 6. 4. Photography in Rhinoplasty - p. 20 7. 5. Three-Dimensional Imaging in Rhinoplasty - p. 23 8. Section 3: Nasal Airway Obstruction - p. 27 9. Part I: Septoplasty - p. 27 10. 6. Conservative/Simple Septoplasty - p. 28 11. 7. Advanced Septoplasty: Correction of Caudal Septal Deflection - p. 31 12. 8. Advanced Septoplasty: Correction of Dorsal Deflections - p. 35 13. 9. Advanced Septoplasty: Extracorporeal Septoplasty—Septal Reconstruction - p. 39 14. Part II: Turbinate Hypertrophy - p. 51 15. 10. Medical Management of Turbinate Hypertrophy - p. 53 16. 11. Functional Turbinoplasty - p. 56 17. 12. Turbinate Reduction Techniques in Rhinoplasty - p. 63 18. Section 4: Graft Harvesting Techniques - p. 66 19. 13. Septal Graft: Preparation of Crushed Cartilage - p. 67 20. 14. Septal Graft: Graft Harvesting Technique - p. 72 21. 15. Conchal Cartilage Harvest (Anterior Approach) - p. 75 22. 16. Conchal Cartilage Harvest (Postauricular Approach) - p. 79 23. 17. Technique for Harvesting Deep Temporal Fascia - p. 83 24. 18. Temporalis Fascia: Neck Hairline Incision - p. 86 25. 19. Costal Cartilage Harvest - p. 88 26. Section 5: The Dorsum - p. 93 27. Part I: Overprojected Dorsum - p. 93 28. 20. Composite Hump Resection - p. 94 29. 21. Component Hump Reduction With Midvault Reconstruction - p. 99 30. 22. Component Hump Resection With Placement of Spreader Grafts - p. 103 31. 23. Dorsal Hump Reduction With Simple Suturing - p. 107 32. 24. Dorsal Hump Deformity in Compromised Internal Valve - p. 112 33. Part II: Nasal Radix Augmentation - p. 115 34. 25. Nasal Radix Augmentation With Crushed Cartilage - p. 116 35. 26. Nasal Radix Augmentation With Temporalis/Mastoid Fascia Harvested Through Postauricular Approach - p. 120 36. 27. Dorsal Nasal Augmentation With Fascia Overlying Crushed Cartilage (Sandwich Technique) - p. 124 37. 28. Internal Lateral and Medial Osteotomy - p. 127 38. 29. External Percutaneous Lateral and Transverse Osteotomies - p. 130 39. 30. Advances in Rhinoplasty—Piezoelectric Nasal Osteotomy - p. 136 40. Section 6: Nasal Tip - p. 141 41. Part I: Tip Refining - p. 141 42. 31. Suture Tip Rhinoplasty - p. 142 43. 32. Boxy Tip: Combination of Techniques - p. 147 44. 33. Tip Grafting - p. 152 45. Part II: Overprotected Tip - p. 156 46. 34. Lateral Crural Overlay - p. 157 47. 35. Medial Crural Overlay - p. 160 48. 36. Dome Division - p. 163 49. Part III: Tip Underprojection - p. 167 50. 37. Structural Reconstruction in Difficult Secondary Cases - p. 167 51. 38. Dorsum Reconstruction and Osteoplasty Using Hand Instruments - p. 173 52. 39. Lateral Crural Steal (LCS) - p. 180 53. 40. Creating Adequate Projection With Closed Rhinoplasty - p. 183 54. Part IV: Elongation of Short Nose - p. 189 55. 41. Dynamic Adjustable Rotational Tip Tensioning Technique - p. 190 56. 42. Tongue and Groove Technique for Nose Elongation - p. 197 57. 43. Tongue-in-Groove Technique - p. 200 58. Part V: Underrotated Tip - p. 202 59. 44. Tip Rotating in a Droopy Tip: Endonasal Approach - p. 203 60. 45. Reductive Rhinoplasty - p. 207 61. Part VI: Cephalic Malpositioning - p. 211 62. 46. Cephalic Malpositioning: Use of Lateral Crural Strut Graft - p. 212 63. 47. Cephalic Malpositioning: Use of Alar Contouring Grafts - p. 216 64. Section 7: Nasal Base Surgery - p. 220 65. 48. Alar Preservation Rhinoplasty - p. 221 66. 49. Correction of the Wide Nasal Base - p. 226 67. 50. Nasal Base Modification - p. 229 68. Section 8: Preservation Rhinoplasty - p. 232 69. 51. Lateral Crural Turn-In Flap (Preservation Tip Plasty) - p. 233 70. 52. Preservation Rhinoplasty (Tip Plasty) - p. 237 71. 53. K-Area Preservation in Primary Rhinoplasty - p. 249 72. 54. Dorsal Preservation in Rhinoplasty: A Deviated Nose - p. 259 73. Section 9: Nonsurgical Rhinoplasty - p. 261 74. 55. Fat Grafting for Rhinoplasty - p. 262 75. 56. Medical Aesthetic Rhinoplasty—Liquid Rhinoplasty - p. 266 76. Section 10: Ethnic Rhinoplasty - p. 272 77. 57. Dorsal Augmentation Using Glued Diced Costal Cartilage With Fascial Cap in Asian Nose - p. 273 78. 58. Indo-Aryan Nose - p. 278 79. 59. The Middle Eastern Nose - p. 284 80. 60. The Persian Nose: Characteristics and Management - p. 290 81. 61. Latino Nose - p. 296 82. 62. Grecian Nose - p. 302 83. 63. Rhinoplasty in the Caucus Nose - p. 305 84. 64. Russian Nose - p. 310 85. 65. Northern European Nose - p. 315 86. 66. The English Nose - p. 320 87. 67. African American Nose - p. 324 88. 68. Hispanic Nose - p. 332 89. 69. Brazilian Nose - p. 335 90. 7070. The Mixed Race Nose (Mestizo Nose) - p. 340 91. Section 11: Complicated Rhinoplasty - p. 345 92. 71. Crooked Nose: Effective Treatment Strategies for Bony Contouring - p. 346 93. 72. Rhinoplasty in Thick-Skinned Patients - p. 354 94. 73. Rhinoplasty in the Aging Nose - p. 359 95. 74. Rhinoplasty in Cleft Lip and Palate Patients - p. 363 96. 75. Simultaneous Orthognathic and Rhinoplasty Surgery - p. 381 97. Section 12: Complications and Revision Rhinoplasty - p. 385 98. 76. Management of the Ischemic Nose - p. 386 99. Part I: Tip Deformities - p. 389 100. 77. Alar Pinch Deformity - p. 390 101. 78. Correction of the Pinch Deformity by Alar Batten Graft - p. 396 102. Part II: Dorsal Deformities - p. 399 103. Part IIDorsal Deformities7979. Correction of Overresection With Crushed Cartilage - p. 400 104. 80. Correcting the Overresected Nose - p. 404 105. 81. Correction of Overresection With Non-Rib Cartilage Wrapped in Fascia - p. 409 106. 82. Correction of Overresection With Diced Cartilage Injection - p. 418 107. 83. Diced Cartilage Glue Graft for Nasal Augmentation - p. 423 108. Index - p. 427 109. Confidence is ClinicalKey - p. 434
