Aesthetic Rhinoplasty

Part 1 Surgical anatomy - essentials of physiology: surgical anatomy; physiology and flow regulation; preoperative analysis and planning of the correction; anaesthesia. Part 2 Technique: incision lines; undermining of the dorsum; internal subperichondreal, submucosal and subperiosteal dissection in the "extramucosal dissection"; shortening of the nose; modelling of the tip; resection of the osteocartilaginous hump and reduction of the nasal bridge; osteotomy; alar cutaneous resections; final checks, trimming and suture; postoperative care. Part 3 Cartilaginous and osteocartilaginous grafts and reimplantations: on the good use of the "remnants"; the septum; the auricular conchal cartilage; grafts to the bridge, nasal tip and naso-labial angle. Part 4 Secondary rhinoplasty: general principles of treatment; in profile; frontal view. Part 5 Case studies: deviated nose; naso-frontal angle (projecting root) and (depressed root); disequilibrium between a receding bridge and a projecting tip; hypertrophic osteocartilaginous hump; wide bridge; narrow nose; long nose; open and closed naso-labio angle; hanging columella; alar collapse; thick skin; negroid nose; large, square nasal tip; ultra-projecting nasal tip; discrete hump; conservative rhinoplasty; rhinoplasty and facial rejuvenation; nose and chin.