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A Practical Approach to Rhinoplasty

Rohrich, Rod J., M.D.; Ahmad, Jamil, M.D.

Plastic and Reconstructive Surgery: April 2016 - Volume 137 - Issue 4 - p 725e–746e
doi: 10.1097/PRS.0000000000002240
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Learning Objectives: After studying this article, the participant should be able to: 1. Understand both preoperative aesthetic and functional assessment of the rhinoplasty patient. 2. Develop an operative plan to address aesthetic goals while preserving/improving nasal airway function.

Summary: Rhinoplasty continues to be one of the most commonly performed aesthetic surgical procedures. Over the past 25 years, the open approach has increased in popularity and is the focus of this article. The principles for successful rhinoplasty include comprehensive clinical analysis and defining rhinoplasty goals, preoperative consultation and planning, precise operative execution, postoperative management, and critical analysis of one’s results. Systematic nasal analysis is critical to establish the goals of surgery. Techniques to address the nasal dorsum, nasal airway, tip complex, alar rims, and bony vault that provide consistent results are discussed.

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Dallas, Texas; and Mississauga and Toronto, Ontario, Canada

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; The Plastic Surgery Clinic; and the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto.

Received for publication April 12, 2015; accepted November 16, 2015.

Disclosure:Dr. Rohrich is a volunteer member of the Allergan Alliance for the Future of Aesthetics and receives instrument royalties from Eriem Surgical, Inc., and book royalties from Taylor and Francis Publishing. Dr. Ahmad receives royalties from CRC Press, Inc. No funding was received for this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Jamil Ahmad, M.D., The Plastic Surgery Clinic, 1421 Hurontario Street, Mississauga, Ontario L5G 3H5, Canada,

©2016American Society of Plastic Surgeons