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Rhinoplasty Refinements: The Role of the Open Approach

Rohrich, Rod J., M.D.; Afrooz, Paul N., M.D.

Plastic and Reconstructive Surgery: October 2017 - Volume 140 - Issue 4 - p 716-719
doi: 10.1097/PRS.0000000000003743
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Summary: The open rhinoplasty technique facilitates accurate visualization of deformities and aesthetic disharmonies in addition to visualization for precise correction. Through a series of videos, this case represents the evolution of the open rhinoplasty technique, demonstrating a wide range in complexity of maneuvers to achieve the desired correction in rhinoplasty. The video demonstrates reduction of the nasal dorsum by way of a component dorsal reduction, reconstitution of the cartilaginous midvault, and suture techniques for reshaping the nasal tip. Nasal tip deprojection and placement of alar contour grafts are also demonstrated in this case. The aim is to provide the rhinoplasty surgeon with examples of basic and sophisticated techniques and also to demonstrate the minutia and nuance of open rhinoplasty.

Dallas, Texas

From the Dallas Plastic Surgery Institute.

Received for publication January 20, 2017; accepted March 2, 2017.

Disclosure:Dr. Rohrich receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Medical Publishing. No funding was received for this article. Dr. Afrooz has no financial interest to declare.

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Rod J. Rohrich, M.D., Dallas Plastic Surgery Institute, 9101 North Central Expressway, Suite 600, Dallas, Texas 75231, Rod.rohrich@dpsi.org@DrRodRohrich

Copyright © 2017 by the American Society of Plastic Surgeons