Rhinoplasty - 22/08/11
Doi : 10.1016/B978-0-323-05283-2.00037-9
Key Points |
• | Best results in rhinoplasty are achieved by conservative techniques maintaining natural and normal-appearing outcomes. |
• | Most successful outcomes are achieved through primarily tissue reorientation and augmentation rather than aggressive resection or reduction techniques. |
• | The quality and thickness of the skin is an essential part of preoperative planning. |
• | A critical surgical assessment factor is evaluation of the inherent strength and support of the nasal tip anatomy. |
• | Standard and uniform color photography recorded before and serially after surgery is as important to the rhinoplasty surgeon as are radiographs to the orthopedic surgeon or electrocardiograms to the cardiologist. |
• | No “routine” tip procedure is used; rather the incisions, the approach, and the tip technique are based on the patient’s individual anatomy. |
• | The underlapping attachment of the upper lateral cartilages to the undersurface of the nasal bones should be preserved. |
• | A strong, high bone-cartilage dorsal profile is typically a superior aesthetic goal. |
• | Narrow, sharp osteotomies provide for less trauma to soft tissue during surgery and less swelling and ecchymosis postoperatively. |
• | The patient should be instructed that subtle postoperative changes continue for many months following surgery. |
Plan
© 2010 Elsevier Inc. Tous droits réservés.© 2008 (© 2008 by Johns Hopkins University, Art as Applied to Medicine.). Publié par Elsevier Masson SAS. Tous droits réservés.© 2008 (© 2008 by Johns Hopkins University, Art as Applied to Medicine.). Publié par Elsevier Masson SAS. Tous droits réservés.© 2008 (© 2008 by Johns Hopkins University, Art as Applied to Medicine.). Publié par Elsevier Masson SAS. Tous droits réservés.© 2008 (© 2008 by Johns Hopkins University, Art as Applied to Medicine.). Publié par Elsevier Masson SAS. Tous droits réservés.
Article précédent
- Nasal Fractures
- Burke E. Chegar, Sherard A. Tatum
- Special Rhinoplasty Techniques
- Richard T. Farrior, Edward H. Farrior, Raymond Cook
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