2;Contents;6 3;Table of DVD Clips;7 4;Chapter 1;10 4.1;Simplifying Rhinoplasty;10 4.1.1;Introduction;10 4.1.2;A Foundation Rhinoplasty Operation;11 4.1.3;A Standard Operative Sequence;12 4.1.4;Level of Difficulty: A Classification;13 4.1.5;Level 1: Form and Function;14 4.1.6;Level 2: Tip Challenges;15 4.1.7;Level 3: Major Changes;16 4.1.8;Teaching Yourself Surgical Cause and Effect;17 4.1.9;Guiding Principles;19 4.1.10;How to UseThis Book;20 5;Chapter 2;21 5.1;A Basic Rhinoplasty Operation;21 5.1.1;Introduction;21 5.1.2;Consultation;22 5.1.3;Operative Planning;24 5.1.4;Operative Sequence;24 5.1.5;Markings;24 5.1.6;Anesthesia;26 5.1.7;Open Approach;28 5.1.8;Septal Exposureand Extramucosal Tunnels;30 5.1.9;Septal Exposure;30 5.1.10;Extramucosal Tunnels;30 5.1.11;Tip Analysis and Symmetrical Rim Strips;32 5.1.12;Dorsal Modification;34 5.1.13;Caudal Septum and Anterior Nasal Spine;36 5.1.14;Septal Harvestand Septoplasty;38 5.1.15;Osteotomies;40 5.1.16;Graft Preparation and Spreader Grafts;42 5.1.17;Tip Surgery;44 5.1.18;Alar Base Modification;50 5.1.19;Closure, Cast, and Post-op Management;52 5.1.20;The Basic Rhinoplasty Operation: A 95% Solution;54 5.1.21;Decision Making Level 1: Planning a Rhinoplasty;56 5.1.22;A Basic RhinoplastyOperation: Operative Sequence;57 5.1.23;What Are the Most Common Variations?;57 5.1.24;Case Study: Aesthetic Septorhinoplasty (Level 1);60 5.1.25;Decision Making Level 2: The Harder Nose;62 5.1.26;Case Study: ThePlunging Tip (Level 2);64 5.1.27;Operative Technique Highlights;64 5.1.28;Decision Making Level 3: The Difficult Nose;66 5.1.29;Case Study: The Ball Tip (Level 3);68 5.1.30;Operative Technique;68 5.1.31;Postoperative Management;70 5.1.32;Ecchymosis and Edema;70 5.1.33;Breathing;71 5.1.34;Initial Appearance;71 5.1.35;Smiling;71 5.1.36;Numbness;71 5.1.37;Complications;72 5.1.38;Incidence;72 5.1.39;Hemorrhage;72 5.1.40;Infection;72 5.1.41;Septal Problems;73 5.1.42;Nasal Obstruction;73 5.1.43;Reading List;74 6;Chapter 3;75 6.1;Radix and Dorsum;75 6.1.1;Overview;76 6.1.2;Level 1;76 6.1.3;Level 2;76 6.1.4;Level 3;76 6.1.5;Anatomy;78 6.1.6;Aesthetics;80 6.1.7;Radix Augmentation;82 6.1.8;Radix Reduction;84 6.1.9;Dorsal Reduction;86 6.1.10;Osteotomies;88 6.1.11;Specialized Osteotomies;90 6.1.12;Spreader Grafts;90 6.1.13;Dorsal Modification;92 6.1.14;DorsalAugmentation;94 6.1.15;Decision Making Level 1;96 6.1.16;decide on the aesthetic indications for spreader grafts and type of osteotomies.Technique;96 6.1.17;Lessons Learned;96 6.1.18;Case Study:Profile Correction;98 6.1.19;Analysis;98 6.1.20;Operative Technique Highlights;98 6.1.21;Decision Making Level 2;100 6.1.22;Case Study:Asymmetric Bony Vault;102 6.1.23;Analysis;102 6.1.24;Operative Technique Highlights;102 6.1.25;Decision Making Level 3;104 6.1.26;Case Study:Radix Reduction;106 6.1.27;Analysis;106 6.1.28;Operative Technique;106 6.1.29;Reading List;108 7;Chapter 4;109 7.1;Tip Techniques;109 7.1.1;Introduction;109 7.1.2;Overview;110 7.1.3;Case Study: Tip Suture;112 7.1.4;Analysis;112 7.1.5;Operative Technique;112 7.1.6;Tip Anatomy;114 7.1.7;Aesthetics: Intrinsic factors;116 7.1.8;Aesthetics: Extrinsic factors;118 7.1.9;Open Approach;120 7.1.10;Open Tip Suture Technique: An Overview;122 7.1.11;Step # 1Symmetrical Rim Strips (Tip Volume Reduction);124 7.1.12;Purpose;124 7.1.13;Technique;124 7.1.14;Symmetrical Rim Strips;125 7.1.15;Step #2 Columellar Strut and Suture (Tip Projection);126 7.1.16;Purpose;126 7.1.17;Technique;126 7.1.18;Step #3 Domal Creation Suture (Tip Definition);128 7.1.19;Purpose;128 7.1.20;Technique;128 7.1.21;Step #4 Interdomal Suture (Tip Width);130 7.1.22;Purpose;130 7.1.23;Technique;130 7.1.24;Interdomal Suture;131 7.1.25;Step #5 Domal Equalization Suture (Tip Symmetry);132 7.1.26;Purpose;132 7.1.27;Technique;132 7.1.28;Domal Equalization Suture;133 7.1.29;Step #6 Lateral Crural Mattress Suture (Crural Convexities);134 7.1.30;Purpose;134 7.1.31;Technique;134 7.1.32;Step #7 Tip Position Suture (Tip Rotationand Projection);136 7.