Difficulty in rhinoplasty takes two forms: the aesthetic and the technical. Rhinoplasty surgeons need a sense of beauty to design the target shape. This shape must comply with the patient's demands, which, however, are often obscure, ambiguous, or inconsistent; thus even the greatest rhinoplasty surgeons have unhappy patients. The only appropriate approach is to suggest two or three shapes that suit the patient's appearance and expectations, and ask the patient to choose between them. Of course, these suggestions must be precise, visualized, and specific. The technical difficulty, on the other hand, lies in assessing the anatomical character of the patient's problem and selecting the procedure that will achieve the desired shape and the means to perform that procedure.

This textbook is designed to help all readers:

• Make accurate diagnoses by learning morphology based on varied anatomy

• Simulate the target shape employing generally used retouch software

• Suggest to patients different potential target shapes

• Learn how to choose the appropriate procedure in order to produce the selected target shape It is the authors' hope that readers will find this textbook an invaluable aid in the performance of rhinoplasties which are not merely based on the surgeon's "taste" but rather take into account the individual patient's requirements and achieve aesthetic results that guarantee patient satisfaction.

Autorentext

Yasushi Sugawara is Professor in the Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan. Dr. Sugawara graduated from Kagawa Medical School, Japan, in 1986 and obtained his board certification in 1993. He was awarded his doctoral degree from the University of Tokyo in 1995. Dr. Sugawara joined the Department of Plastic Surgery at Jichi Medical University as an Assistant Professor in 1998, becoming an Associate Professor in 2002 and being appointed to his current position in 2007. He is a member of a variety of professional organizations, including the International Society of Craniofacial Surgery and the International Society of Aesthetic Plastic Surgery. Dr. Sugawara has published extensively in international journals.

Inhalt

Clinical Anatomy.- The Presurgical Workflow.- Basic Surgical Techniques.- Dorsal Augmentation or Height Reduction.- Altering the Nasal Tip.- Alar and Pedestals.- Cases.