Description
Drs. Johnson and To present an innovative, case-based approach to open structure rhinoplasty. Over 950 high-quality, intraoperative photographs and detailed line drawings illustrate a full range of issues associated with the 80 primary and revision cases highlighted in the text. Coverage ranges from perioperative care and presurgical consultation…through techniques and instrumentation. The authors illustrate the decision-making process involved in each step of each patient’s surgery, emphasizing the relationship between technique and result.
New to this Edition
*Provides critical aesthetic analysis of a large number of patients and the results.
*Highlights a wide range of surgical techniques and the decision- making process involved in deciding how and when to employ each maneuver.
*Emphasizes an individualized approach to rhinoplasty specific to each patient’s particular anatomy and expectations.
*Offers an extensive review of cases with over 950 sharply detailed, high-quality intraoperative photographs to strengthen understanding of case-specific concepts and techniques.
*Illustrates a broad range of techniques, including alar base reduction • conchal cartilage harvest • chin augmentation • dorsal or frontal nasal augmentation • the tripod-pedestalÒwith Gore-Tex concept for the lower third of the nose • spreader grafts, turn-in grafts, cartilage and mucosal preservation of the middle vault of the nose • and many more.
- Contents -
I. Introduction
History of Open Structure Rhinoplasty Philosophy Tripod Pedestal Concept • Bony Cartilaginous Framework vs. SSTE Dynamic • Preservation of Structure • Change Shape, Not Size • Avoidance of “Tensions” • Emphasis on Technique • Learning via Experience
II. The Tripod–pedestal Concept
III. Patient Evaluation Consultation Photography Pre-operative Evaluation Nasal Analysis Tripod • Pedestal • Dorsum • SSTE Post-operative Care and Evaluation Taping • Kenalog Injection • Revision Surgery (Touch Up)
IV. Anesthesia
V. Open Structure Rhinoplasty—The Basic Technique Instrumentation Illustrative Case Pre-operative Analysis • Intraoperative Photos • Diagram • Post- operative
VI. Primary Rhinoplasty Tension Nose Crooked Nose Short Nose Minimal Rhinoplasty
VII. Secondary Rhinoplasty
VIII. Index – Primary and Secondary Per Technique Per Anatomic Sub-group Per Anatomic Characteristic
Author Information
Calvin M. Johnson, Jr., MD, Hedgewood Surgical Center, New Orleans, LA; and Wyatt C. To, MD, The Cosmetic and Surgery Center, Frederick, MD |