Rhinoplasty Surgery;
This 23 year-old woman presented for removal of a large dorsal hump and a nasal size reduction. Two years after rhinoplasty with the author’s perichondro-periosteal flap technique. An open technique was used to expose the nasal dorsum. Perichondro-periosteal flaps were elevated. After bony and cartilaginous hump reduction, spreader flaps were used to restore the cartilaginous dorsum. Low to high lateral osteotomies were performed. Resected nasal bone was thinned and used to camouflage the keystone region. Perichondro-periosteal flaps were sutured to stabilize the replacement graft on the keystone area. Note the patient’s smooth, straight dorsum, with refinement of dorsal aesthetic lines.
(Nov 1, 2016)