Main description:

This extensively revised second edition describes how techniques previously developed by Dr. Rollin Daniel for use in open rhinoplasty can be adapted for the closed approach. The author argues that this offers greater feedback during surgery, a shorter recovery period and absence of scarring. The book includes a full explanation of preoperative preparation, including evaluation of the nasal surface aesthetics using the concept of geometric polygons as aesthetic subunits to define both the existing deformity and the aesthetic goals. Aided by a wealth of color photos, it also provides step-by-step descriptions of the surgical techniques developed and modified to achieve the desired surface appearance, and illustrates how the novel dissection and redrape control methods reduce the healing time and enhance outcomes. Further, the book presents a series of case analyses documenting the benefits of the approach. Written in a "cookbook style" this superbly illustrated book enables plastic surgeons to quickly learn how to utilize the closed approach to rhinoplasty for optimal aesthetic benefit.

Contents:

Preface
Part I: BEFORE SURGERY
1. Photography
2. How to draw a nose and patient surface analysis
3. Nose polygons
4. Instruments
Part II: SURGERY
5. Skin, chin, cheek and forehead
6. Surgery preparation, anesthesia and injections
7. Turbinate surgery
8. Incisions and dissection
9. Septoplasty
10. Classic dorsal resection
11. Osteotomy, ostectomy and dorsal reconstruction
12. Dorsal preservation
13. How did the nose get deformed?
14. Tip surgery
15. Tip projection and rotation
16. Tip asymmetry
17. Cephalic malposition
18. Fine tuning
19. Stabilization of the nasal tip, scroll reinsertion and closure of incisions
20. Nostril base surgery
21. Deviated nose
22. Secondary rhinoplasty
23. Taping and cast
Part III: CASE STUDIES