This extensively revised second edition describes how techniques previously developed by Dr. Rollin Daniel for use in open rhinoplasty can be adapted for the closed approach. The author argues that this offers greater feedback during surgery, a shorter recovery period and absence of scarring. The book includes a full explanation of preoperative preparation, including evaluation of the nasal surface aesthetics using the concept of geometric polygons as aesthetic subunits to define both the existing deformity and the aesthetic goals. Aided by a wealth of color photos, it also provides step-by-step descriptions of the surgical techniques developed and modified to achieve the desired surface appearance, and illustrates how the novel dissection and redrape control methods reduce the healing time and enhance outcomes. Further, the book presents a series of case analyses documenting the benefits of the approach. Written in a cookbook style" this superbly illustrated book enables plastic surgeons to quickly learn how to utilize the closed approach to rhinoplasty for optimal aesthetic benefit.



Contributor Bio(s)



Baris Çakir graduated from the Medical School at Çukurova University, Turkey, in 1999 and joined Kartal Training and Research Hospital as a Plastic Reconstructive and Aesthetic Surgery resident the same year. During his training, he gained extensive microsurgery experience, performing over 500 microsurgical operations, and received various awards for his work on cleft lip and microsurgery. He became a plastic surgery specialist in December 2004, and developed an interest in sculpture and art history with the aim of achieving more successful outcomes. He studied sculpture at the Fine Arts School at Suleyman Demirel University and continued his education in fine arts and sculpture at Inonu University, Malatya. He worked with Michael Esson on model and pattern studies. Dr. Çakir worked at Istanbul Memorial Hospital between 2007 and 2010, and since 2010, he has been a member of the visiting staff at Nisantasi American hospital. For the last 4 years, he has focused solely on rhinoplasty, performing on average 200-300 procedures per year.




Preface
Part I: BEFORE SURGERY

1. Photography

2. How to draw a nose and patient surface analysis

3. Nose polygons

4. Instruments



Part II: SURGERY

5. Skin, chin, cheek and forehead

6. Surgery preparation, anesthesia and injections

7. Turbinate surgery

8. Incisions and dissection

9. Septoplasty

10. Classic dorsal resection

11. Osteotomy, ostectomy and dorsal reconstruction

12. Dorsal preservation

13. How did the nose get deformed?

14. Tip surgery

15. Tip projection and rotation

16. Tip asymmetry

17. Cephalic malposition

18. Fine tuning

19. Stabilization of the nasal tip, scroll reinsertion and closure of incisions

20. Nostril base surgery

21. Deviated nose

22. Secondary rhinoplasty

23. Taping and cast



Part III: CASE STUDIES