A Practical Approach To Asian Rhinoplasty

Difficulty in rhinoplasty takes two forms: the aesthetic and the technical. Rhinoplasty surgeons need a sense of beauty to design the target shape, but the shape must comply with the patient’s often problematic demands. 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. The technical difficulty, on the other hand, lies in assessing the anatomical character of the problem and selecting the procedure that will achieve the desired shape. This textbook will help readers to make accurate diagnoses, simulate the target shape employing generally used retouch software, suggest to patients different target shapes, and learn how to choose the best procedure to produce the selected target shape. It will assist in the performance of rhinoplasties which take into account the individual patient’s requirements and achieve aesthetic results that guarantee patient satisfaction.

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Yong Ju Jang, is devoted to Rhinoplasty for the Asian Nose. Articles in this issue include: Anatomy of the Asian Nose; Surgical Approach in Asian Rhinoplasty; Dorsal Augmentation Using Silicone Implant; Dorsal Augmentation Using Autogenous Tissue; Other Implant Materials for Dorsal Augmentation; Injection Rhinoplasty Using Filler; Septal Extension Grafting in Asian Rhinoplasty; Nasal Tip Grafting; Hump Nose Correction in Asians; Alar Base Reduction and Alar-columellar Relationship; Correction of Short Nose; and Rhinoplasty for the South-East Asian Nose.

This superbly illustrated atlas, featuring approximately 2,500 high-quality illustrations, will help all surgeons who perform rhinoplasty in Asian patients to achieve excellent aesthetic and functional outcomes. The differences in nasal anatomy and aesthetic goals between Asian and Western individuals are clearly explained, and the surgical materials appropriate to Asian rhinoplasty are identified. The full set of techniques employed in Asian rhinoplasty are then described and illustrated step by step, taking into account the important advances achieved in recent years. Among the procedures covered are dorsal augmentation using implants and autogenous tissue, tip plasty, tip reduction surgery, short nose correction, humpectomy, correction of alar-columellar disproportion, nostril and alar base reduction, and deviated nose correction. Guidance is offered on management of potential complications, and secondary rhinoplasty is also discussed. This book will enable surgeons to enhance the appearance of the nose in a way that is fully consistent with the other facial features of Asians.

This practical book describes in detail surgical methods that yield excellent results when performing rhinoplasty in Asian patients. The coverage encompasses the full range of frequently encountered nasal deformities and the procedures employed in their correction. Precise descriptions of surgical techniques are complemented by a wealth of pre-, intra-, and postoperative illustrations as well as videos documenting actual operations. Attention is drawn to surgical pearls and pitfalls, and full guidance is also provided on patient preparation, anesthesia, and postoperative management. Rhinoplasty is a challenging procedure, and surgeons who treat Asian patients must take into account the fact that, compared with Caucasians, they have smaller noses, weaker cartilage, and thicker skin. Moreover, cultural differences and variations in aesthetic standards need to be respected. The book clearly explains the nasal anatomy for Asian rhinoplasty and its implications for surgical technique. It will serve as an ideal, easy-to-use reference for all surgeons who perform rhinoplasty in Asians, regardless of their level of expertise.

Book Introduction 15 years for plastic surgery of nose only! Nose plastic operation technique for the Asian people written by the foremost specialist of nose plastic operation in Korea! Since the cosmetic surgery began, lots of people have published the books for nose plastic surgery but most of them are focused on the western people. The standard of ‘ideal nose’ appeared in the plastic surgery textbook is also focused on the ideal type of western people. However, the structure of face line and nose of Asian people is basically different from those of western people. If the plastic operation is carried out by applying the standard of ideal nose appeared in the textbook for the face of Asian people, it is naturally unfamiliar or not comfortable. Dr. Suh Man Koon, the author of this book, has studied the nose plastic operation suitable for the face line of Asian people for a long time, based on various clinical experiences. The author who has experienced in the nose plastic surgery over 15 years felt the necessity of systematic training book acutely while training the medical teams who came from Asian countries to learn the advanced plastic operation technique of Korea. The author expressed his wish that this book will be helpful for those who want to learn the nose plastic operation technique for the Asian people Contents 01 Basic Anatomy of the Nose Required for Rhinoplasty I . Basic nose anatomy for rhinoplasty II . Surgical equipments used in rhinoplasty : medical tools, sutures III . Harvest of autogenous cartilages : auricular cartilage, septal cartilage, rib cartilage IV. Harvest of autogenous soft tissue : dermofat, temporal fascia V . Rhinoplasty approach techniques (incision types) 02 Preoperative Procedures for Rhinoplasty I . Initial patient consultation and examination II . Clinical photography III . Preoperative instructions IV. Preoperative sterilization V . Postoperative dressing 03 Dorsal Augmentation with Implants I . Introduction and background II . Implant types and characteristics III. Several controversial issues concering nasal implants IV. Indication of each implant V . Tips on sculpting and use 04 Implant-related Complications & Their Solutions I . Deformity due to capsule-scar contracture II . Late spontaneous hematoma III . Calcification IV. Color change of dorsal skin V . Visible implant contour or thinned skin VI. Implant exposure VII. Implant mobility and deviation VIII. Infection IX. Foreign body reaction X . Implants with visible signs of operation 05 Dorsal Augmentation with Autogenous Tissue I . Dorsal augmentation with temporal fascia II . Dorsal augmentation with dermofat graft III. Dorsal augmentation with rib cartilage IV. Dorsal augmentation with diced cartilage wrapped with temporal fascia 06 Asian Tip Plasty I . Basics of nasal tip plasty 1: Tip suture technique II . The basic of nasal tip plasty 2: Cartilage graft III . Application of nasal tip plasty 1: Projection IV. Application of nasal tip plasty 2 : Correcn for a blunt nasal tip and long nose 197 V . Advanced techniqies of the nasal tip plasty : Short nose correction VI. The causes and solutions for unsatisfactory nasal tip plasty among Asians 07 Basics of Osteotomy I . Hump reduction II . Medial osteotomy III. Lateral osteotomy IV. Cautions in performing osteotomies V . Postoperative dressing 08 Correction of Hump Nose and Wide Nasal Bone I . Hump nose correction II . Correction of wide nasal bone 09 Correction of Deviated Nose I . Causes of deviated nose II . Type of deviated nose III . Preoperative analysis IV. Surgical method 10 Contracted Short Nose Correction I . What is a contractured nose? II . Causes of contracture III. Correction of a contractured short nose 11Miscellaneous Rhinoplasties I . Reduction of nostril and ala width II . Retracted ala correction III . Correction of columella

A unique ethnocentric guide to rhinoplasty anatomy and techniques from globally renowned experts In order for a facial plastic surgeon to create a harmonious relationship between the face and nose, it’s paramount to consider each patient’s ethnicity and gender identity. Nasal anatomy varies widely in terms of proportion, thickness, size, and resilience and many of these differences are specific to ethnicity. Although rhinoplasty has been available for many decades, applying Caucasian rhinoplasty guidelines to Hispanic, Middle Eastern, Black, and Asian patients increases the risk of adverse outcomes and the need for multiple or revision surgeries. Global Rhinoplasty: A Multicultural Approach edited by world-renowned facial plastic surgeons Ashkan Ghavami, Sam P. Most, and Nazim Cerkes fills a gap in the literature, providing in-depth coverage of non-Caucasian nasal anatomy and rhinoplasty approaches for each subtype. The textbook includes 39 chapters and is organized in five sections: Principles, Anatomical Considerations, Primary Rhinoplasty, Secondary Rhinoplasty, and Special Considerations. Seventeen chapters cover anatomical and surgical techniques specific to the skin and soft tissue, dorsum, nasal tip, and nostrils for each ethnic group. Each of the 16 rhinoplasty chapters features expert commentary from the editors. The text concludes with discussion of preservation rhinoplasty, the use of fillers for nonsurgical and revision surgeries, evaluating psychosocial factors in patients seeking rhinoplasty surgery, and the role of marketing and social media in global practice. Throughout the book, authors share firsthand insights on potential pitfalls and strategies to prevent complications. Key Highlights Contributions and clinical pearls from globally recognized experts In-depth analysis of ethnic variations in skin and nose anatomy and its impact on outcomes Primary, secondary, and nonsurgical rhinoplasty videos provide invaluable visual guidance High-quality case study operative photos and illustrations enhance understanding of anatomy, approaches, and outcomes This must-have resource will help facial plastic surgeons significantly improve pre-surgical, surgical, and postoperative phases of rhinoplasty in Hispanic, Middle Eastern, Black, and Asian patients.

This book will enable the reader, regardless of their experience, to master the best rhinoplasty practice. It includes all contemporary techniques such as preservation, structural, and atraumatic rhinoplasty concepts, and makes them very practical to apply. Rhinoplasty in Practice not only explains the anatomy, historical evaluations, philosophy, descriptions, indications, limitations, and complications of rhinoplasty but also reports many innovative and unpublished data, tips, and tricks for success. The text is enhanced by: Algorithms and tables for a clear understanding of the deformity and treatment techniques Almost 100 full HD surgical and 3D animation videos (available via a Companion Website) to make the techniques clear, practical, and applicable Over 500 superb illustrations to make the anatomy and surgical techniques more easily comprehensible, allowing the reader to follow each step and including cadaver, histological, ultrasonography, computed tomography, and clinical studies