From the Dallas Plastic Surgery Institute and private practice.
Plast Reconstr Surg. 2019 Jul;144(1):102e-117e. doi: 10.1097/PRS.0000000000005778.
After studying this article and viewing the videos, the participant should be able to: 1. Describe the operative technique necessary to perform open rhinoplasty. 2. Summarize the steps necessary in performing a component dorsal reduction. 3. Develop a surgical plan for nasal tip shaping and cephalic rotation of the nasal tip. 4. Identify the need for aesthetic improvement of the alar base, and perform successful alar base surgery. 5. Demonstrate consistency, safety, and predictability in rhinoplasty.
Rhinoplasty remains one of the most challenging procedures in plastic surgery, and continues to be one of the top five aesthetic surgical procedures, with over 223,000 performed in 2016. Rhinoplasty may be performed by means of the "open" or the "closed" approach, and each approach has its advantages and disadvantages. This article focuses on the open approach, and the principles and techniques necessary to achieve consistent and gratifying results. As with all plastic surgery procedures, successful rhinoplasty begins with a thorough clinical analysis, definition of the goals, meticulous preoperative planning, precise operative execution, vigilant postoperative management, and a critical analysis of one's results.
学习本文并观看视频后，学员应能够：1. 描述进行开放式鼻整形术所需的手术技术。2. 总结进行鼻翼部分减少术所需的步骤。3. 制定鼻尖端塑形和鼻尖旋转的手术计划。4. 确定需要改善鼻翼基部的美观，并成功进行鼻翼基部手术。5. 在鼻整形术中表现出一致性、安全性和可预测性。
鼻整形术仍然是整形手术中最具挑战性的手术之一，并且仍然是前五种美容手术之一，2016 年进行了超过 223,000 例。鼻整形术可以通过“开放式”或“闭合式”方法进行，每种方法都有其优缺点。本文重点介绍开放式方法以及实现一致和满意效果所需的原则和技术。与所有整形手术程序一样，成功的鼻整形术始于彻底的临床分析、目标定义、精心的术前规划、精确的手术执行、警惕的术后管理以及对结果的批判性分析。
