Nasal tip surgery in primary rhinoplasty: My two different approaches with the closed technique

Abstract

The approach to a rhinoplasty should start from a precise preoperative diagnosis through a clinical examination, a preoperative photographic study of the proposed corrections, which are discussed with the patient, to surgical planning to achieve the desired result. Before starting the operation the surgeon should clearly have in mind three main points: The exact anatomical feature from which to start (what's in his hands) The desired point of arrival (what he wants to obtain) What are the means of obtaining the desired result To obtain the preoperative diagnosis it is necessary to imagine the shape of the anatomical structures through careful inspection and palpation; this is easier in thin skin noses than with thick skin, in post-traumatic noses, in secondary rhinoplasties and in cases of malformation. © 2008 Springer-Verlag Berlin Heidelberg.