Preservation Rhinoplasty and the Crooked Nose
Crooked or deviated noses pose a specific challenge as many of the elements in a deviated nose are not symmetric and therefore not ideal for preservation techniques. Deviated noses are often where a hybridization between preservation and structural rhinoplasty is required. Careful preoperative evaluation of the soft tissue and bony anatomy of the patient is very important and congenital or post-traumatic asymmetry may involve more than the nasal pyramid. Full exposure of the nasal pyramid allows for visualization and appropriate osteotomy or rhinosculpture. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Charles East Source Type: research

Modified Skoog Method for Hump Reduction
Dorsal hump reduction is a key component of rhinoplasty. Spreader grafts are the most frequently used technique; however, dorsal irregularities may result. The modified Skoog method involves removal of the osseocartilaginous dorsal hump, its modification, further reduction of the nasal dorsum, replacement of the modified dorsal segment, and suspension of the upper lateral cartilages. The dorsal segment acts as an onlay spreader graft, preserves the middle vault, closes the open roof deformity, and creates a smooth dorsal contour from radix to anterior septal angle. The modified Skoog method produces optimal functional and ...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Jennifer C. Fuller, Peter A. Hilger Source Type: research

Dorsal Preservation Rhinoplasty
This article discusses methods and adjustments in technique to help minimize these potential problems when performing dorsal preservation. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Dean M. Toriumi, Milos Kovacevic Source Type: research

A Segmental Approach in Dorsal Preservation Rhinoplasty
This article presents our philosophy when approaching the nasal dorsum regarding its segments and their specific anatomic aspects and surgical demands. We describe our intermediate septal strip approach, the intermediate split and the Tetris concept, and discuss their advantages and limitations. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Jos é Carlos Neves, Diego Arancibia Tagle, Wilson Dewes, Mario Ferraz Source Type: research

Preservation Rhinoplasty: Revitalization of an Age-Old Technique
I was first introduced to the concept of dorsal reduction with simultaneous osseocartilaginous vault preservation at the Portland Rhinoplasty Course in the early 2000s. Only a few years out of fellowship, I was stunned by my friends and colleagues Drs Fausto-Lopez Ullua ’s and Jose-Juan Montes’ talks in which they described the “Let-Down” and “Push-Down” rhinoplasty. I had never heard of such methods previously, and I was highly skeptical. Year after year, I heard my friends from Mexico City speak of these methods. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Sam P. Most Tags: Preface Source Type: research