Rhinoplasty Fundamentals

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]

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 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]

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 – 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]

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]