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Primary Open Rhinoplasty

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

Plastic and Reconstructive Surgery: July 2019 - Volume 144 - Issue 1 - p 102e-117e
doi: 10.1097/PRS.0000000000005778
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Learning Objectives: After studying this article and viewing the videos, the participant should be able to: 1. Describe the operative technique necessary to perform open rhinoplasty. 2. Summarize the steps necessary in performing a component dorsal reduction. 3. Develop a surgical plan for nasal tip shaping and cephalic rotation of the nasal tip. 4. Identify the need for aesthetic improvement of the alar base, and perform successful alar base surgery. 5. Demonstrate consistency, safety, and predictability in rhinoplasty.

Summary: Rhinoplasty remains one of the most challenging procedures in plastic surgery, and continues to be one of the top five aesthetic surgical procedures, with over 223,000 performed in 2016. Rhinoplasty may be performed by means of the “open” or the “closed” approach, and each approach has its advantages and disadvantages. This article focuses on the open approach, and the principles and techniques necessary to achieve consistent and gratifying results. As with all plastic surgery procedures, successful rhinoplasty begins with a thorough clinical analysis, definition of the goals, meticulous preoperative planning, precise operative execution, vigilant postoperative management, and a critical analysis of one’s results.

Dallas, Texas; and Miami, Fla.

From the Dallas Plastic Surgery Institute and private practice.

Received for publication May 20, 2018; accepted February 28, 2019.

Disclosure:Dr. Rohrich receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Medical Publishing. He is a clinical and research study expert for Allergan, Inc., Galderma, and MTF Biologics, and the owner of Medical Seminars of Texas, LLC. No funding was received for this article. Dr. Afrooz has no financial interest to declare in relation to the content of 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.

Paul N. Afrooz, M.D., 777 Arthur Godfrey Road, Suite 300, Miami Beach, Fla. 33140, paul.afrooz@gmail.com, Twitter: @DrAfrooz, Instagram: @dr.paul.afrooz, Facebook: PaulAfroozMD

Copyright © 2019 by the American Society of Plastic Surgeons