By Barış Çakır
This beautifully illustrated booklet describes how ideas formerly built via Dr. Rollin Daniel to be used in open rhinoplasty might be tailored to be used within the closed process. it's the author’s opinion that this mix bargains better suggestions in the course of surgical procedure, a shorter restoration interval and lack of scar. complete clarification is supplied of preoperative practise, together with review of the nasal floor aesthetics utilizing the idea that of geometric polygons as aesthetic subunits to outline either the prevailing deformity and the cultured ambitions. The surgical ideas built and converted to accomplish the specified floor visual appeal are then defined step-by-step simply by a wealth of colour images. it truly is illustrated how the radical dissection and redrape keep watch over tools decrease the therapeutic time and improve consequence and an in depth sequence of case analyses is gifted to record some great benefits of the technique. The booklet is written in a “cookbook structure” that may permit plastic surgeons fast to profit the right way to make the most of the closed method of rhinoplasty to optimum aesthetic benefit.
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Additional info for Aesthetic Septorhinoplasty
If you do not record what you did in surgery, your development will be slow. In nose surgery certain results appear after about one year. Evaluate your first-year results with the help of your surgery notes. In this way, you can find your mistakes and correct them easily. Your recording program should be simple and easily accessed. Do not spend too much on patient archiving programs. You can have an archive with your computer’s simplest program without any technical support. I use the address book program in my computer.
A medium-sized speculum may be more appropriate. I bought several of different lengths, but use only the mediumsized ones. 1 Dorsum Retractor The body of the dorsum retractor should be thin. You must control the edges, making sure that they are not sharp. Check the edge of the retractor with your finger; it must be blunt. Sharp-edged retractors can damage nostril margins. 2 Small Retractor The retractor must be thin and concave. Without this retractor, closed surgery is difficult. Especially in subperichondrial dissection, we 7 The Rhinoplasty Instrument Set start dissection by opening small pockets.
Selçuk Işık has published a most useful paper on this issue. Işık uses intracath for fat injection. I, however, think that fat grafting using a cannula is safer. Isik S, Sahin I. Contour restoration of the forehead by lipofilling: our experience. Aesthetic Plast Surg 36(4), 2012:761–6. Why is the forehead important in aesthetic nose surgery? ” It is not easy to lower the radix; dissection is difficult, bone density is high and adapting skin to this area is not easy. 5 cm, the nasal body starts to disappear from the front view.
Aesthetic Septorhinoplasty by Barış Çakır