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What are some tips and pearls for preserving and improving nasal function when performing a cosmetic rhinoplasty?

Hahn, Samuel; Becker, Daniel G.

Current Opinion in Otolaryngology & Head and Neck Surgery: February 2014 - Volume 22 - Issue 1 - p 58–62
doi: 10.1097/MOO.0000000000000011
NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa

Purpose of review Understanding nasal form and function is critical in performing successful cosmetic rhinoplasty. Careful evaluation of the patient's nasal airway with identification of areas of existing or potential obstruction is important in avoiding potential pitfalls that may compromise nasal function following rhinoplasty. This article will review surgical techniques that can be utilized to preserve and improve nasal function during cosmetic rhinoplasty.

Recent findings Recent literature on nasal functionality focuses on the management of the internal and external nasal valve as well as the nasal septum during rhinoplasty.

Summary Successful cosmetic rhinoplasty requires a thorough preoperative analysis of both aesthetic and functional characteristics of the nose. Close attention should be paid to the internal and external nasal valves and nasal septum before and during surgery to preserve and improve nasal function following cosmetic rhinoplasty.

Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA

Correspondence to Daniel G. Becker, MD, 400 Medical Center Drive, Suite B, Sewell, NJ 08080, USA. Tel: +1 856 589 6673; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins