Preservation Rhinoplasty, An Issue of Facial Plastic Surgery Clinics of North America

1st Edition, Volume 29-1 - November 19, 2020
Editor: Sam P. Most
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 7 2 6 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 7 2 7 - 0

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Sam P. Most, is devoted to Preservation Rhinoplasty. This issue is one of four selected each year by the series… Read more

Preservation Rhinoplasty, An Issue of Facial Plastic Surgery Clinics of North America

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This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Sam P. Most, is devoted to Preservation Rhinoplasty. This issue is one of four selected each year by the series Consulting Editor, Dr. J. Regan Thomas. Articles in this issue include: Introduction and History of Preservation Rhinoplasty; Concepts, Indications, and Contraindications of Preservation Rhinoplasty; Anatomy of the Dorsal Hump; The Let Down Method of Endonasal Dorsal Reduction; Endonasal Approach to the Pushdown Method; External Approach to the Pushdown and Letdown Methods; Incorporating Dorsal Preservation into Clinical Practice; Subperichondrial and Periosteal Dissection of the Nose; Tip Ligament Suspension; Piezo-electric Osteotomies in Dorsal Reduction; Advanced Septal Reconstruction and Dorsal Preservation; Modified Skoog Method for Hump Reduction; and Component Hump Reduction.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
History of Dorsal Preservation Surgery: Seeking Our Historical Godfather(s) for the “Push Down” and “Let Down” Operations
Key points
Why bother reading history?
What is dorsal preservation surgery?
Why dorsal preservation surgery?
Two methods of dorsal preservation surgery: the push down and let down
Seeking the godfather(s) of dorsal preservation surgery
J.L. Goodale
O.A. Lothrop
P. Sebileau and L. Durfourmentel
Other contributors
Another recent contribution
Summary
Conventional Resection Versus Preservation of the Nasal Dorsum and Ligaments: An Anatomic Perspective and Review of the Literature
Key points
Introduction
Surface and soft tissue anatomy
Dorsal aesthetic lines
Nasal bones
The keystone area (dorsal keystone area and lateral keystone area)
Upper lateral cartilage and the internal nasal valve
Nasal septum
Ligamentous attachments
Membranous septum
Summary
Clinics Care Points
Dorsal Preservation Rhinoplasty: Method and Outcomes of the Modified Subdorsal Strip Method
Key points
Introduction
The bony nasal vault in dorsal preservation
Approaches to the septum in dorsal preservation
Modified subdorsal strip method
Discussion
Summary
Clinic Care Points
Key Points in Subperichondrial-Subperiosteal Dissection
Key points
Introduction
Patients and technique
Surgical instrumentation necessary for subperichondrial-subperiosteal dissection technique
Key points
Discussion
Result
Tip Ligament Preservation and Suspension: Why and How?
Key points
Introduction
Discussion
Ligament preservation and suspension
Summary
Preservation Rhinoplasty (Let-Down Technique) for Endonasal Dorsal Reduction
Key points
Introduction
Anatomic and dynamic considerations of the nasal dorsum
The biotensegrity concept applied to the nasal dorsum
Surgical technique
Septal work
Summary
Clinics care points
Preservation Rhinoplasty: The Endonasal Cottle Push-Down/Let-Down Approach
Key points
Introduction
Summary
Clinics Care Points
Piezoelectric Osteotomies in Dorsal Preservation Rhinoplasty
Key points
Introduction
Piezo-osteotomy and piezo-ostectomy
Osteoplasty with piezo
Fixing the new position of the dorsum
Summary
Clinics care points
A Segmental Approach in Dorsal Preservation Rhinoplasty: The Tetris Concept
Key points
Introduction
Dorsum conservative techniques
The segmental preservation approach
Surgical technique
Discussion
Summary
Clinical care points
Supplementary data
Incorporating Dorsal Preservation Rhinoplasty into Your Practice
Key points
Introduction
Personal experience with dorsal preservation
The spectrum of dorsal preservation (types 1–4)
Decision making
Technical details and lessons learned
Summary
Combined Functional and Preservation Rhinoplasty
Key points
Introduction
The internal nasal valve
Nasal septum
Inferior turbinates
Nasal mucosa
Nasal ligaments
Patient-reported outcomes
Summary
Clinics care points
Preservation Rhinoplasty and the Crooked Nose
Key points
Introduction
Crooked or deviated noses
The skin envelope
Rhinosculpting
The cartilaginous vault
Soft tissue ligament repair
The nasal tip
Summary
Clinic care points
Modified Skoog Method for Hump Reduction
Key points
Introduction
The evolution of nasal hump reduction
The modified Skoog technique
Summary and Discussion
Clinical care points
Dorsal Preservation Rhinoplasty: Measures to Prevent Suboptimal Outcomes
Key points
Introduction
Preoperative analysis
Patient selection
Potential sequelae
Adjustments to minimize suboptimal outcomes
Modification to the classic Cottle technique
When to consider conventional methods
Overview