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Facial Plast Surg 2021; 37(01): 036-044
DOI: 10.1055/s-0040-1714672
Original Article

The Segmental Preservation Rhinoplasty: The Split Tetris Concept

José Carlos Neves
1   Department of Facial Plastic Surgery, My Face, Clinics and Academy, Lisbon, Portugal
,
Diego Arancibia-Tagle
2   Department of Otolaryngology—Head and Neck Surgery, Hospital Universitari Son Espases, Baleares, Spain
,
Wilson Dewes
3   Department of Facial Plastic Surgery, Clinica Dewes, Lajeado, Brazil
,
Mario Ferraz
4   Department of Facial Plastic Surgery, Clinica Mario Ferraz, Campinas, Brazil
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Abstract

Dorsal preservation rhinoplasty has seen considerable advances in the recent years as many doctors have improved and developed new ideas on the subject. In the era of minimal trauma surgery, it is important to achieve a beautiful nasal aesthetic result with minimum injury to the nose. Preserving the main structures of the nasal pyramid has been pursued for more than a century, and some different approaches have been described and developed since then. Their strengths and weakness have been shown. The present society's demand for perfection is an added reason for improving the stability and predictability of preservation rhinoplasty. We describe a brand-new philosophy of approaching the nasal dorsum hump that combines both safety and delicacy in dealing with the anatomical structures with elegancy and accuracy and achieving the aesthetic goal required.

Keywords

preservation rhinoplasty - letdown - pushdown - split Tetris concept - Vitruvian Man split maneuver


Publication History

Article published online:
04 September 2020

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