Department of Facial Plastic Surgery, Myface Clinic, Lisboa, Portugal.
Department of Plastic Surgery, St. Petersburg State Pediatric Medical University, Saint Petersburg, Russian Federation.
Facial Plast Surg. 2021 Feb;37(1):2-11. doi: 10.1055/s-0041-1723825. Epub 2021 Feb 25.
Rhinoplasty as an operation is akin to a game of chess, where every maneuver will influence the eventual outcome. Undoubtedly, more than one approach to the nasal soft tissues envelop can produce beautiful and safe results as will be described in the paper namely, the subcutaneous, sub-superficial musculoaponeurotic system, supra- and sub-perichondral planes. For different justifiable reasons surgeons have their preferences, regarding dissection planes on the tip, middle and upper thirds, and regarding the manipulation of the soft tissue layers and nasal ligaments. The concept of the nasal layers and the presence of relevant ligamentous structures and how to restore them in an anatomical fashion, will help to understand the logic behind various approaches.
隆鼻术作为一种手术，类似于下棋，每一个动作都会影响最终的结果。毫无疑问，对鼻软组织包膜的不止一种处理方法都可以产生美丽和安全的结果，正如本文所述，即皮下、浅筋膜下肌筋膜系统、软骨上和软骨下平面。由于不同的合理原因，外科医生对鼻尖、中鼻和上鼻三分之一的解剖平面以及对软组织层和鼻侧韧带的操作有其偏好。鼻组织层的概念以及相关韧带结构的存在，以及如何以解剖学的方式将其重建，将有助于理解各种方法背后的逻辑。
