Nasal Dissection: Septoplasty with Cartilage Harvest Hemitranslixion Incision with Anterior Septal Tunnels I . Retract the columella with a small nasal speculurn, multitoothed Brown Adson forceps, large two-prong hook, or another suitable instrument. This maneuver exposes the caudal margin of the septum (1,2). Make a hemitransfixion incision along the caudal border of the cartilaginous septum… [Read More]
Rhinoplasty Fundamentals
Rhinoplasty Dissection Manual: Chapter 3
Infiltrative Anesthesia Technique Proper local anesthesia is critical to allow atraumatic dissection with minimal bleeding and edema. A total volume of less than 3 ml of 1% lidocaine with 1:100,000 epinephrine is typically used to attain anesthesia for rhinoplasty alone. When performing septorhinoplasty, as much as 10 nil of local anesthetic may be used. The… [Read More]
Rhinoplasty Dissection Manual: Chapter 2
Rhinoplasty Analysis 1 Development of an operative plan that will achieve the desired outcome requires an under-standing of the patient’s wishes and selection of appropriate surgical maneuvers to effect the proposed changes. The surgeon must be able to identify anatomic constraints that will limit the ability to change contour (thick skin, weak cartilages, etc.). Experience… [Read More]
Rhinoplasty Dissection Manual: Chapter 1 – Anatomy
Although the anatomy of the nose has been fundamentally understood for many years, only relatively recently has there been an increased understanding of the long-term effects of surgical changes on the function and appearance of the nose. A detailed understanding of nasal anatomy is critical for successful rhinoplasty. This chapter reviews the surface and structural… [Read More]
Rhinoplasty Dissection Manual
Acknowledgements We wish to thank the following friends, colleagues, and mentors for their encouragement, support, and Guidance. Dr. M. Eugene Tardy, Jr., has been an inspirational mentor and friend, whose advice and encouragement were instrumental in this project’s development. Our mentors in Otolaryngology Head & Neck Surgery and in Facial Plastic & Reconstructive Surgery are… [Read More]
Rhinoplasty Long Term Effects
Rhinoplasty – surgery to reshape the nose—is a common procedure for both cosmetic and functional requests. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Hospital, Philadelphia, Pennsylvania Address all correspondence to Dr. Daniel G. Becker, Dept. of Otorhinolaryngology-Head and Neck Surgery, Univ. of Pennsylvania Hospital, 3400 Spruce Street, 7 Silverstein, Philadelphia PA 19104; beckermailbox@aol.com ABSTRACT:… [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]
Open vs. Closed Rhinoplasty
Open Versus Closed RhinoplastyDaniel G. Becker MD FACS Clinical Associate Professor & Director of Facial Plastic SurgeryDepartment of Otolaryngology-Head and Neck SurgeryUniversity of Pennsylvania Medical CenterPhiladephia, Pennsylvania Clinical Associate ProfessorDepartment of Otolaryngology-Head and Neck SurgeryUniversity of Virginia Medical CenterCharlottesville, Virginia Address correspondence to: Daniel G. Becker MD FACSBecker Nose and Sinus Center, LLC400 Medical Center… [Read More]
Rhinoplasty Dissection Manual: Chapter 13
Placement Of Intranasal Packs, Nasal Splint When extensive septoplasty is undertaken, or when partial turbinectomy or turbinoplasty is performed, the surgeon may wish to place a temporary intranasal pack. The goal is to pro -vide some compression of the septa] flaps and, in the case of turbinate surgery, to decrease the risk of postoperative bleeding…. [Read More]
Revision Rhinoplasty Textbook
Page 1: My Personal Approach and Philosophy Daniel G. Becker My personal philosophy of rhinoplasty focuses on one essential goal – to achieve a result that makes the patient happy. With this essential goal in mind, I take a conservative approach to rhinoplasty and seek a natural, unoperated look. I avoid over-aggressive resection maneuvers. I… [Read More]