The Nose Revision And Reconstruction

A key problem-solving reference on revision rhinoplasty and reconstructive surgery of the nose Written by a team of expert rhinoplasty and reconstructive surgeons, this practical reference and casebook offers guidelines and step-by-step instructions for dealing with the many minor and major problems that arise in revision rhinoplasty and reconstructive surgery of the nose. Divided into two parts, The Nose - Revision and Reconstruction first describes and discusses the principles and practice of these types of surgery. In the second part, 59 carefully selected cases are presented to the reader with the various surgical problems that can be expected. Revision cases are analyzed and demonstrated in a range of common and rare presentations in patients who had previous functional and aesthetic surgery, and reconstructive surgery for nasal defects or after trauma and tumor resections. This reference also addresses issues relating to psychosomatic problems, psychology, body dysmorphic disorder, patient selection and contraindications, the timing of revision surgery, and specific processes in wound healing. The concepts of septorhinoplasty in various stages of life are also discussed, as they deal with general principles that are essential in any rhinoplasty but are particularly important in revision surgery. The express goal of this book is to steer clear of current trends. Thus, it covers the gamut of closed, open, and endoscopic approaches and all graft and suture techniques, employing the full armamentarium of surgical techniques. The book also aims to improve the reader's skills in preoperative analysis and planning so that typical mistakes can be avoided and the best possible results are achieved the first time. In this sense, the book follows the classic principle of learning from mistakes so that they will not be repeated.

Revision Rhinoplasty is an essential reference for addressing the manifold problems arising from unsuccessful rhinoplasty. In this book, internationally recognized experts provide their recommendations and describe techniques that will help the reader plan and perform a successful secondary rhinoplasty. The book opens by reviewing fundamental concepts of revision rhinoplasty, with thorough discussion of anatomy and functional considerations, as well as strategies for assessing the psychological characteristics of patients, such as the patients motivations and expectations for surgery, appearance concerns, and psychiatric status and history. Chapters then focus on managing specific problems in different subsites of the nose, providing important information on the evaluation of the patient, indications, contraindications, surgical techniques, and postoperative care. Features: A separate chapter on each clinical problem to help the reader rapidly locate topics of interest Expert guidance on how to manage critical steps and complications Insights into the philosophy and personal experiences of leading surgeons in a unique section titled, Personal Philosophies of Revision Rhinoplasty Nearly 700 clinical and intra-operative images clearly demonstrating key concepts This book is an essential reference for facial plastic surgeons, plastic surgeons, otolaryngologists, and rhinologists seeking to master the complexities of revision rhinoplasty.

This lavishly illustrated atlas will have wide appeal to the growing number of specialists who perform rhinoplasty (aesthetic and/or reconstructive surgery of the nose). In addition to plastic surgeons, ENT/otolaryngologists, head & neck surgeons, dermatologists and even oral surgeons are now incorporating rhinoplasties into their practices. Over 350,000 rhinoplasties were performed in 2003, and as the number of cases increases, so does the number of failed operations. Follow up surgeries to improve form or function are referred to as "revision" or "secondary" rhinoplasties. Michael Evan Sachs has perfected the art and science of revision rhinoplasty with thousands of case, and readers will learn not only how to repair a failed procedure but also how to prevent one in the first place.

A nasal reconstruction authority shows you how to obtain the best outcomes and repair unsatisfactory results from former surgeries. In addition to presenting the latest principles and techniques, this new resource also examines evolving concepts and methods, keeping you at the forefront of today's practice. The book emphasizes the restoration of nasal defects-from simple to complex-and achieving normal appearance and function. Comprehensive coverage of all nasal injuries and available surgical methods-both cutting edge as well as older, established approaches-help you choose the best approach for each patient and situation. Full-color clinical photos offer real-life clinical views of conditions and step-by-step surgical results, and a bonus DVD-featuring operative clips-shows techniques in action as well as providing hints and tips for obtaining optimal surgical outcomes. Offers detailed coverage of the principles of nasal reconstruction and application of the aesthetic principles as they apply to the whole face. Discusses design, planning, technique, and pitfalls to avoid for the full range of nasal reconstruction for complete surgical management guidance. Covers the latest topics in reconstruction including three-stage forehead flap . repair of the cocaine nose . advances in the use of free flaps for lining . forehead skin graft . microvascular reconstruction of the nose and face . and revision surgery to equip you to meet a wide range of surgical needs. Features guidance on reconstruction of nasal defects due to cancer, trauma, infection, congential deformity, drug abuse, and collagen vascular disease. Provides expert advice on revision surgery-as well as refinement/touch-up procedures-to effectively handle a previously repaired nose. Includes a DVD with 90 minutes of surgical footage-including cases with a complete 2 stage and a 3 stage folded forehead flap-as well as hints and tips for obtaining optimal surgical outcomes.

The third of a series of Multispecialty presentations in plastic surgery is this issue on Rhinoplasty, led by Dr. Babak Azzizadeh with plastic surgery section editor Dr. Ronald Gruber and facial plastic surgery section Editor Dr. Daniel Becker. This comprehensive publication on all aspects of Rhinoplasty and Revision Rhinoplasty presents clinical management from plastic surgeons and facial plastic surgeons on topics including: Anatomy/Analysis of the Nose in Rhinoplasty; External and Endonasal Rhinoplasty; Airway Obstruction; Surgical Treatment of Nasal Obstruction in Rhinoplasty; Cleft Lip Nose; Humpectomy/Spreader Flaps; Costal Cartilage Grafts in Rhinoplasty; Nasal Bones and Osteotomies; Dorsal Hump Osteotomies; Dorsal Augmentation; Short Nose Correction; Nasal Tip Deficiency; Projection and De-projection Techniques in Rhinoplasty; Projection and De-projection in Rhinoplasty; Use of Fillers in Rhinoplasty; Surgical Treatment of the Middle Nasal Vault; Bulbous and Broad Nasal Tip; The Crooked Nose; Surgical Treatment of the Twisted Nose; Nasal Base Deformities; Alar Rim Deformities; Rhinoplasty in the Asian Patient; Rhinoplasty in the African-American Patient; Rhinoplasty in the Latino Patient; Revision Rhinoplasty; Chin Advancement, Augmentation, and Reduction as an Adjunct to Rhinoplasty.

This issue of Facial Plastic Surgery Clinics, guest edited by Drs. Paul S. Nassif and Julia L. Kerolus, is devoted to Revision Facial Plastic Surgery: Correcting Bad Results. Articles in this outstanding issue include: Correction of Ectropion and Lower Eyelid Retraction Following Blepharoplasty; Complications Associated with Fat Grafting to the Lower Eyelid; Approach to Correction of Septal Perforation; Correction of the Over-reduced Nose; Management of Post-Surgical Empty Nose Syndrome; Correction of Nasal Pinching; Approach to Alar Notching; Treatment Protocol for Compromised Nasal Skin; Management of Surgical Scars; Common Complications in Rhytidectomy; Neck Deformities in Plastic Surgery; Filler Associated Vision Loss; Management of Lip Complications; Tips to Avoid Complications Following Mohs Reconstruction; and Miscellaneous Botched Nasal Procedures.

Secondary Rhinoplasty begins with the basic anatomy of the nose that often predetermines which technique is possible and which is realistic. Each region of the nose and its particular anatomy is analyzed and explained as a specific unit and as part of the total aspect of management. Reconstruction of the nose, biologic deteriorations, tumors, the effects of aging, and associated congenital abnormalities are also dealt with. Nothing of substance has been left out, and yet the primary value of this text is the presentation of the most optimal surgical methods of correction.

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Mark Wax, is devoted to Facial Reconstruction Controversies. Articles in this timely issue include: Management of the Nasal Valve; Reconstruction of the Parotid Defect; Pediatric Rhinoplasty; Cleft Lip and Cleft Palate; Evidence-Based Medicine; Facial Re-animation; Management of the Trauma Patient; Post-operative Management of Free Tissue Transfer; Measuring Nasal Obstruction; Primary Rhinoplasty; Revision Rhinoplasty; The Role of Antibiotic Prophylaxis in Facial Plastic Surgery; Aging Face; Facial Transplantation; and Fillers and Resurfacing.