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Nasal Reconstruction and Aesthetic Rhinoplasty

  • Chapter
Plastic and Reconstructive Surgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Summary

The nose is one of the most prominent features on the human face, and rhinoplasty has preoccupied surgeons for centuries. The nose is often divided into thirds, each third has its own features. Nasal analysis begins with a frank discussion with the patient and includes a thorough history taking, including prior surgeries and any drug use. Analysis of the nose consists of the relationship of the nose to the face in the facial horizontal thirds, vertical fifths, and facial angles. It also includes an assessment of harmony between the nasal segments, nasal length, tip shape, projection, and rotation, and the alar—columellar relationship. Deformities of the upper vault include a dorsal hump, which is treated with rasping and occasionally block resection, or dorsal deficiency, which is treated with grafts. The tip can be modified by grafts, resection of alar cartilages, or suture placement. Nasal deviation must be localized to the upper, middle, or lower vault and is treated with either osteotomies for the upper vault or cartilaginous repositioning for the middle and lower vaults. All rhinoplasties require thoughtful planning and preoperative customization.

A nose which varies from the ideal of straightness to a hook or stub may still be of good shape and agreeable to the eye

— Aristotle

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Abbreviations

N-AG:

Nasion to the alar groove

SMAS:

Subcutaneous musculoaponeurotic system

Sn:

Subnasale

SON:

Supraorbital notch

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, University Hospitals/Case Western Reserve University, Lyndhurst, OH, USA

    Devra Becker

  2. Department of Plastic Surgery, University Hospitals/Case Western Reserve University, Cleveland, OH, USA

    Bahman Guyuron

Authors
  1. Devra Becker
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  2. Bahman Guyuron
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Editor information

Editors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Maria Z. Siemionow (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training) (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training)

  2. Department of Plastic and Aesthetic, Hand, and Reconstructive Surgery, Caritas-Krankenhaus St. Josef, affiliated with Regensburg University, Regensburg, Germany

    Marita Eisenmann-Klein (Director) (Director)

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© 2010 Springer-Verlag London Limited

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Becker, D., Guyuron, B. (2010). Nasal Reconstruction and Aesthetic Rhinoplasty. In: Siemionow, M.Z., Eisenmann-Klein, M. (eds) Plastic and Reconstructive Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-513-0_23

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  • DOI: https://doi.org/10.1007/978-1-84882-513-0_23

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-512-3

  • Online ISBN: 978-1-84882-513-0

  • eBook Packages: MedicineMedicine (R0)

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