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Evidence-Based Medicine: Rhinoplasty

Beck, Daniel O. M.D.; Kenkel, Jeffrey M. M.D.

Plastic and Reconstructive Surgery: December 2014 - Volume 134 - Issue 6 - p 1356–1371
doi: 10.1097/PRS.0000000000000718
MOC-CME: Original Articles

Learning Objectives: After studying this article, the participant should be able to: 1. Discuss the key components in the aesthetic, functional, and emotional evaluation of a patient presenting for rhinoplasty. 2. Describe the various surgical options to achieve the goals identified during consultation. 3. Recognize appropriate nonsurgical options and their limitations for treating nasal deformities. 4. Assess the benefits and risks of using perioperative antibiotics in rhinoplasty. 5. Identify common postoperative sequelae of rhinoplasty and formulate a plan of care based on best evidence data.

Summary: This article was prepared to accompany practice-based assessment with ongoing surgical education for the Maintenance of Certification for the American Board of Plastic Surgery. It outlines the evaluation of the rhinoplasty patient and highlights both surgical and nonsurgical options to address nasal defects. In addition, data from the current literature are included to supplement physician knowledge for enhanced perioperative care and improved outcomes.

Dallas, Texas

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Received for publication April 2, 2014; accepted May 8, 2014.

Disclosure: Dr. Beck has no commercial or financial disclosures. Dr. Kenkel is an investigator for Allergan, Ultra Shape, and Solta and a member of the advisory board for Kythera and Ulthera. No outside funding was received for this work.

Daniel O. Beck, M.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, Texas 75390-9132,

©2014American Society of Plastic Surgeons