Evolving Techniques in Rhinoplasty

ABSTRACT

Rhinoplasty is a highly complex procedure with a steep learning curve. Young physicians during advanced surgical training are imprinted with the techniques of their mentors. These methods are often initially favored. As the physician matures, early adopted methods then serve as the foundation from which differing individualized techniques are developed and employed. This article will examine the modifications and evolution of one surgeon's rhinoplasty techniques and philosophies over the first 6 years of practice and how this relates to the changes that have occurred over the same time frame in his mentors' practice.

KEYWORDS

Rhinoplasty - nasal tip - revision - nasal dorsum

REFERENCES

• 1 Perkins S W. The evolution of the combined use of endonasal and external columellar approaches to rhinoplasty.  Facial Plast Surg Clin North Am. 2004;  12 35-50
• 2 Tardy M E. Surgery of the nasal septum and airway. In: Tardy ME Rhinoplasty: The Art and the Science. Philadelphia, PA; WB Saunders 1997: 584-616
• 3 Gubisch W. Extracorporeal septoplasty for the markedly deviated septum.  Arch Facial Plast Surg. 2005;  7 218-226
• 4 Ishida J, Ishida L C, Ishida L H, Vieira J C, Ferreira M C. Treatment of the nasal hump with preservation of the cartilaginous framework.  Plast Reconstr Surg. 1999;  103 1729-1733; discussion 1734-1735
• 5 Dayan S H, Greene R. Achieving a natural nasal dorsum in rhinoplasty.  Ear Nose Throat J. 2006;  85 22-23
• 6 Cakmak O, Buyuklu F, Yilmaz Z et al.. Viability of cultured human nasal septum chondrocytes after crushing.  Arch Facial Plast Surg. 2005;  7 406-409