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   |