By Yves Saban M.D., Chiara Andretto Amodeo M.D., Roberto Polselli (auth.), Melvin A. Shiffman, Alberto Di Giuseppe (eds.)
Aesthetic rhinoplasty is one of the commonest aesthetic operations within the box of facial aesthetic cosmetic surgery, however it is additionally considered as the most advanced. This finished booklet offers a wealth of up to date details on complex aesthetic rhinoplasty concepts. After dialogue of anatomy, mental matters, and preoperative making plans, a variety of fundamental and secondary rhinoplasty ideas are defined basically and intimately using a number of high quality colour illustrations. using fillers in rhinoplasty, ethnic diversifications in anatomy and methods, and attainable dangers and issues are all truly defined. This ebook is meant basically for skilled surgeons within the fields of cosmetic surgery, plastic surgery, basic surgical procedure, otolaryngology, ophthalmology, oral maxillofacial surgical procedure, and beauty surgical subspecialties. it is going to even be a useful source for citizens and fellows.
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Extra info for Advanced Aesthetic Rhinoplasty: Art, Science, and New Clinical Techniques
The effect of the configuration of the medial crus produced by these angles greatly influences the shape and prominence of the flared portion of the base of the columella (Fig. 3). The footplate segment of the columella is influenced not only by its intrinsic shape but also by the posterior caudal edge of the cartilaginous septum and by the Middle crus: Domal segment Lobular segment Medial crus: Columellar segment Footplate segment Fig. 8 Paired alar cartilages – lateral view (Courtesy of Jaye Schlesinger, Ann Arbor, MI) Tip_defining point Middle crus: Domal segment Lobular segment a b Lateral crus: Fig.
8 (a) (Left) Preoperative. (Right) Postoperative after a silicone implant was inserted in a subperiosteal pocket. (b) (Left) Preoperative. (Right) Postoperative after dermisfat was inserted in a subcutaneous pocket. The division of the dermocartilaginous ligament during subperiosteal dissection allowed the tip of the nose to rotate a slightly more cephalic position in the case above. -K. Han 32 b Fig. 8 (continued) References 1. Han SK, Lee DG, Kim JB, Kim WK (2004) An anatomic study of nasal tip supporting structures.
An early study on the configuration of the caudal edge of the upper lateral cartilage showed some degree of lateral (downward) curling. Conversely, the slope of the adjacent cephalic edge of the lateral crus is usually a convex curve downward (Fig. 20). In most people, there is some degree of overlap of these cartilages, which may enhance the function of the internal nasal valve . The degree of this curvature determines in part the flare and fullness (bulbousness) of the lateral lobule. If resection of either cartilage edge is contemplated, the underlying mucosa should be preserved carefully and the cartilage excision should be minimized to avoid unpredictable, undesirable late changes .
Advanced Aesthetic Rhinoplasty: Art, Science, and New Clinical Techniques by Yves Saban M.D., Chiara Andretto Amodeo M.D., Roberto Polselli (auth.), Melvin A. Shiffman, Alberto Di Giuseppe (eds.)