10.1055/b-0035-121700 22 Functional Tension Nose and the Overprojected Nose 22.1 Functional Tension Nose “Tension nose” is commonly associated with an overprojected nose or nasal tip. Due to the presence of…
10.1055/b-0035-121699 21 Nasal Refinement with Minimal Changes Fig. 21.1 Vanity by Bernardo Strozzi (1630). Small morphologic changes can lead to major complaints and significant functional problems. They should not be…
10.1055/b-0035-121698 20 Multiple Nasal Injuries Multiple injuries to the nose create a special set of tissue circumstances involving the postoperative consolidation of fractures in a more or less optimal position,…
10.1055/b-0035-121695 17 Polly Beak Deformity “Polly” is derived from the name “Molly.” In the Cockney rhyming slang once spoken by sailors and pirates, “pretty Polly” meant money. Using the term…
10.1055/b-0035-121692 14 Approaches to the Nasal Tip and Dorsum 14.1 Closed or Open Approach? The first aesthetic rhinoplasty was performed by John Orlando Roe in 1887 using an endonasal approach….
10.1055/b-0035-121693 15 Revision Septoplasty The nasal septum is part of the medial nasal wall. It is composed anatomically of various bony and cartilaginous structures: the perpendicular plate of the ethmoid…
10.1055/b-0035-121691 13 Sutures and Structural Grafts in Secondary Nasal Tip SurgeryJacqueline Eichhorn-Sens and Wolfgang Gubisch Aesthetic correction of the nasal tip is the most demanding aspect of a rhinoplasty. A…
10.1055/b-0035-121694 16 Complexity of Events The nose is a complex of anatomic structural elements invested by a fibroaponeurotic sheath (the superficial musculoaponeurotic system, SMAS), which binds the elements together and…
10.1055/b-0035-121690 12 Lateral Osteotomies In 1898, Jacques Joseph described his technique for performing a lateral osteotomy with a saw. Later, in the 1920s, chisels and osteotomes became the instruments of…
10.1055/b-0035-121687 9 Evaluation and Analysis 9.1 Visual Inspection Visual inspection of the patient is done to evaluate the face and external nose. Questions of overall assessment are paramount: Are there…
