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.

Section I
1 Revision Rhinoplasty An Introduction
2 Basic Rules for Revision Rhinoplasties
3 Psychological Evaluation
4 Complications and Risks
5 Reference Points in Aesthetic Facial Surgery: Part Mathematics, Part Intuition
6 Septorhinoplasty in Different Age Groups
7 Identity and Aesthetics: Ethnic Aspects of Rhinoplasty
8 The Nose As an Aerodynamic Body
9 Evaluation and Analysis
10 Tissue Replacement in the Nose
11 Principles of Nasal Implantology
12 Lateral Osteotomies
13 Sutures and Structural Grafts in Secondary Nasal Tip Surgery
Section II
14 Approaches to the Nasal Tip and Dorsum
15 Revision Septoplasty
16 Complexity of Events
17 Polly Beak Deformity
18 Problems with the Nasal Dorsum
19 Deviation of the Nasal Dorsum
20 Multiple Nasal Injuries
21 Nasal Refinement with Minimal Changes
22 Functional Tension Nose and the Overprojected Nose
23 Problems Involving the Nasal Vestibule
24 Saddle Nose after Septoplasty or Trauma
25 Augmentation of the Nasal Dorsum
26 Over- and Underresection of the Alar Cartilages
27 The Nasal Tip
28 Reconstruction of Tissue Loss: Columella and Nasal Tip
29 Rhinoplasty after Tumor Surgery
30 Rhinoplasty in Patients with Systemic Diseases
31 Paraffinomas (Lipogranulomas)
32 Rhinoplasty after Cleft Lip Repair
33 Iatrogenic Overresection of the Nasal Framework
34 Reconstructive Surgery
Appendix