Rhinoplasty is a demanding surgical procedure that tests both the artistic and the technical skills of the aesthetic surgeon. Complications can be difficult to define when contrasted to nonanesthetic surgical procedures. A rhinoplasty that has an unremarkable postoperative course and a result that is highly satisfactory to the surgeon may still be thought of as unsatisfactory by the patient. We have found it helpful to categorize our evaluation of rhinoplasty results on the basis of the anatomic components present. These components include the nasal tip, the columella and alae, the nasolabial angle, the naso-frontal angle, the cartilaginous vault, and the bony vault. The nose fulfills few, if any, of the requirements for use of an alloplastic material. In situations requiring augmentation rhinoplasty, autogenous cartilage is the implant of choice. Autogenous cartilage has many positive features including its flexibility, absence of host reaction, regional donor availability, and relative resistance to infection and extrusion. As a dominant facial anatomic unit, the nose is affected by other facial features so that its relationship to the other features should be carefully evaluated. Evaluation of the profile and the placement of a chin implant can have a dramatically positive effect on the final appearance of the nose following rhinoplastic surgery. As in all types of demanding surgery, certain aspects of healing cannot be completely controlled by the surgeon. Complications and their sequelae can occur in the best of hands. However, many of these difficulties can be easily avoided through the use of a conservative, systemic, step-wise approach to rhinoplastic surgery.
|Original language||English (US)|
|Number of pages||21|
|Journal||Ear, Nose and Throat Journal|
|State||Published - Jan 1 1986|
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