Abstract Bony vault management is a particularly demanding aspect of rhinoplasty and is a common reason for secondary surgery. From the late 19th century and for many decades the tool used were mechanical, including saws, rasps, chisels, scissors and osteotomes. Although they gradually improved, they were quite crude, imprecise and often hard to control when… [Read More]
Bony Vault/Nasal Dorsum
Ultrasonic Rhinoplasty. Osteotomies and Dorsum Refinement
Abstract Management of the osseocartilaginous vault continues to present challenges for rhinoplasty surgeons. We need to search for an atraumatic method to reshape the nasal bones in the most precise way. The author’s preference in recent years has been to seek more control and precision in osteotomies and in dorsum refinement, so as to avoid… [Read More]
Let Down Technique
Abstract Rhinoplasty is one of the most common surgeries performed in the world, usually with cosmetics concerns. It is important to treat the nose as a functional unit, avoiding to separate aesthetics from function. The main goal in preservation Rhinoplasty techniques is to eliminate the dorsal hump while conserving the key stone area intact. This… [Read More]
Powered Instrumentation for Rhinoplasty and Septoplasty
Daniel G. Becker, MD, Stephen S. Park, MD, FACS, and Dean M. Toriumi, MD Advances in instrument design are guided by the desire to achieve a surgical maneuver more efficaciously and accurately, such as through the use of finer rasps and smaller osteotomes. Powered instrumentation is introduced to improve precision and technical ease while minimizing… [Read More]
Let Down Technique
Introduction The nose should be considered as a functional unit, one of the elements of this concept being the form. We should never try to separate these two concepts, since form is function. Nasal structures should not be evaluated or handled in isolation from each other; any modification of one of the structures will have… [Read More]
Dorsal Hump Reduction and Osteotomies
The Overprojected Nasal Dorsum Introduction The nasal dorsum plays an important role in the aesthetic evaluation of the nose and the face as a whole. The upper two thirds of the nose is formed by the bony and cartilaginous dorsum. This chapter will attribute to the overprojected nasal dorsum both the bony and cartilaginous part,… [Read More]
Narrowing of the nasal dorsum without hump reduction
Introduction: The nasal dorsum is often narrowed during rhinoplasty as a result of open roof closure following reduction of the nasal dorsum. In the presence of an open roof, medial and lateral osteotomies, or lateral osteotomies alone, allow medial displacement of the nasal bones into the newly created paramedian space of the open roof. The… [Read More]
Lecture On Osteotomies
Welcome to the 6th PENN Rhinoplasty Course. It is nice to have you all here at our course, which for the first time we are having here in the Chelsea Hotel in Atlantic City. My co-course directors are Dr. Ara Chalian and Dr. Stephen Goldstein, and we would like to welcome you all. As you… [Read More]