Rhinoplasty: Surface Aesthetics and Surgical Techniques

Abstract

Surface aesthetics of the attractive nose are created by certain lines, shadows, and highlights, with specific proportions and breakpoints. Our evaluation of the nasal surface aesthetics is achieved using the concept of geometric polygons as aesthetic subunits, both to define the existing deformity and the aesthetic goals. Surgical techniques have been developed and modified to achieve the desired surface appearance, and those are detailed in this article. The principles of geometric polygons allow the surgeon to analyze the deformities of the nose, to define an operative plan to achieve specific goals, and to select the appropriate operative technique. These aesthetic concepts and surgical techniques were used in 257 consecutive rhinoplasties performed in the past 3 years by the principal author (B.Ç.).

Osteoectomy in Rhinoplasty

“…The reshaping and repositioning of the nasal bones allow a good reconstruction of the roof, the redefining of the lateral and dorsal esthetic lines and better highlights of the lateral bone polygon [11][12][13][14] as shown in pictures 9 and 10. Conventional techniques of osteotomies do not allow a large skeletonization of the dorsum because this could cause a collapse of the nasal bones structures.…”

Reductive Nasal Profileplasty

“…Whether from the more historical and traditional methods of defined proportions described herein or from the newer polygonal geometric analysis described by Çakir et al, it is beyond question that the preoperative surgical planning elements play a crucial role. 8 The surgeon must use these elements to guide themselves to the exact implementation of certain surgical techniques at the dorsum. Only then will they gain a harmonious profile individualized to each patient.…”

Can Functional Septorhinoplasty Independently Treat Obstructive Sleep Apnea?

“…[17][18][19][20][21] The procedure The apnea-hypopnea index improved from 8.6 to 2.8, while the REM apnea-hypopnea index improved from 33.6 to 8.6, and NOSE scores improved from 100 to 15. involves improving the overlap between the upper and lower lateral cartilages in a subperichondrial plane, by means of an intercartilaginous (and thus scroll-dividing) incision. [17][18][19][20][21] The procedure The apnea-hypopnea index improved from 8.6 to 2.8, while the REM apnea-hypopnea index improved from 33.6 to 8.6, and NOSE scores improved from 100 to 15. involves improving the overlap between the upper and lower lateral cartilages in a subperichondrial plane, by means of an intercartilaginous (and thus scroll-dividing) incision.…”