This book will enable the reader, regardless of their experience, to master the best rhinoplasty practice. It includes all contemporary techniques such as preservation, structural, and atraumatic rhinoplasty concepts, and makes them very practical to apply. Rhinoplasty in Practice not only explains the anatomy, historical evaluations, philosophy, descriptions, indications, limitations, and complications of rhinoplasty but also reports many innovative and unpublished data, tips, and tricks for success.



The text is enhanced by:



Algorithms and tables for a clear understanding of the deformity and treatment techniques


Almost 100 full HD surgical and 3D animation videos (available via a Companion Website) to make the techniques clear, practical, and applicable


Over 500 superb illustrations to make the anatomy and surgical techniques more easily comprehensible, allowing the reader to follow each step and including cadaver, histological, ultrasonography, computed tomography, and clinical studies




AUTHOR(S)

BIOGRAPHY


Associate Clinical Professor Suleyman Tas, MD, of the Tas Aesthetic Surgery Clinic, Istanbul, Turkey, is a Turkish and European Board Certified Plastic, Reconstructive & Aesthetic Surgeon with many years of national and global experience. He has performed thousands of rhinoplasty procedures, won numerous scientific awards, published over 50 international scientific articles, presented more than 500 papers, and created many patented instruments for rhinoplasty. In addition to his annual course on Closed Atraumatic Rhinoplasty which has been endorsed by societies in Europe, the United States, and internationally, he has to date received over 2,000 international attending surgeons as delegates and been invited as speaker and faculty to many congresses internationally.



Preface



Chapter 1: Patient Selection in Rhinoplasty

Patient identification
Physical examination
Psychological evaluation
Functional evaluation
Aesthetic evaluation
Simulation study
Revisit



Chapter 2: Closed Atraumatic Rhinoplasty

2.1 Description and explanation of the closed atraumatic technique

Why this philosophy begins with the closed technique
2.2 Stages of the closed atraumatic technique

Local injection
Incisions
Fundamental closed atraumatic rhinoplasty incisions
Classic rhinoplasty incisions
Dissection plane
-Room concept

Preservation
Reshaping
Reconstruction
Structure
Redraping and closure
2.3 Open and closed rhinoplasty comparison

2.4 Submembranous - SubSMAS dissection plane comparison



Chapter 3: Dorsum surgery

3.1 Osteotomy

Osteotomy complications and prevention
Rocker deformity
Nasolacrimal duct damage
Airway problems
Management of complications
3.2 Osteoplasty

3.3 Maxilloplasty

3.4 Dorsum surgery

The current techniques for dorsum surgery
3.4.1 Excisional approach to the dorsum

The history of dorsum excision
Composite hump removal
Component hump removal
Dorsum reconstruction
Bone dust technique
Thickness of spreader flaps
Length of spreader flaps
3.4.2 The dorsum preservation approach

The history of dorsum preservation
Dorsum preservation approach
Down techniques
Indications
Relative contraindication
Exact contraindication
Deciding on technique selection
General principles for down techniques
Incision
Septum
Ethmoid incision
Bone excision
Radix osteotomy
Dorsum dissection
Osteotomies
Wedge excision
Fixation
Residual hump
Step by step push down technique
Step by step let down technique
Step by step fix down technique
Related anatomy
Classification of septal and external deviations
Dorsal roof technique
3.4.3 Dorsum algorithm in reduction rhinoplasty

3.5 Dorsum augmentation

Ultra-diced cartilage method



Chapter 4: Nasal tip surgery

4.1 History of tipplasty

4.2 Surgical anatomy and related deformities in tipplasty

The tripod concept
The effects of tipplasty techniques on the tripod
Supratip break point
Nostril image
Nostril deformities and possible treatment options
Lateral crus malposition
Medial crus malposition
Bifid nose deformity
4.3 Tipplasty

Tipplasty techniques
Modern tipplasty
Lower lateral cartilage flaps
Lateral crural flap
ST flap (Superior based Transposition flap)
Reverse ST flap
Anatomic strut concept
Algorithm for the columellar strut concept
Anatomic columellar septal extension graft
The mystery of the Pitanguy ligament
Deep SMAS suture
Perichondrio-SMASectomy
What is the soft tissue hump, and where and how does it form?
Soft Tissue Redraping
4.4 Use of electrocautery in rhinoplasty

4.5 Blinking nose deformity and treatment



Chapter 5: Alar Base Surgery

5.1 Alar Excision

Indications
Algorithm
Surgical Technique
5. 2 Alar Base Narrowing Suture

5.3 Providing Symmetry on Vertical, Horizontal and Sagittal Planes

Alar Base Retraction
Algorithm
Releasing the Levator Alaeque Nasi Muscle
Releasing the Piriform Ligament
Maxillary Hypoplasia Treatment
5.4 Releasing the Depressor Septi Nasi Muscle

Smiling deformity
Speaking deformity



Chapter 6: Revision Rhinoplasty

6.1 Dissection Plane in Revision Surgery

6.2 The Closed Rhinoplasty Approach for Challenging Cases

6.3 Saddle Nose Deformity

Classification of the saddle nose deformity
6.4 Using Rib Cartilage in Revision Rhinoplasty

Harvesting of the Rib Cartilage
Thorax anatomy
Anatomic landmarks
Determining the incision
Surgical technique
6.5 Costal Reconstruction in Revision Cases with Cleft Lip-Nose Deformity

6.6 Using Auricular Cartilage Graft in Revision Surgery

6.7 Diced Cartilage Flap Technique

6.8 Restoring Tip Mobility in Revision Rhinoplasty Patients

6.9 Treatment of Over Rotated Noses

6.10 Fisherman Suture



Chapter 7: Advanced Rhinoplasty

7.1 Male Nose

7.2 Female Nose

7.3 Algorithmic Approach in Reduction Rhinoplasty According to Skin Type

7.4 Rhinoplasty in Thin-Skinned Patients

7.5 Rhinoplasty in Thick-Skinned Patients

7.6 DUAL Plane Dissection

7.7 Asian Rhinoplasty

Nasal tip bulbosity
Septal problems
Dorsal Augmentation
Wide pyramidal angle and wide base
7.8 African Rhinoplasty

7.9 Middle Eastern Rhinoplasty



Index