Our Summary

This research paper discusses the different aspects and methods of preservation rhinoplasty (PR), a type of nose surgery. PR techniques have evolved over the years, as demonstrated by JC Neves, who learned from Wilson Dewes. Meanwhile, D Toriumi, who started performing PR in 2019, shares how he initially took a careful approach before gradually treating patients with a wider range of nose shapes. A Göksel emphasizes the importance of the surgeon’s skill and the need to evaluate each patient individually. He recommends techniques like dorsum-plasty osteotomies and the Ballerina maneuver to make PR more effective. The paper also mentions other PR techniques such as the low strip technique, preservation impaction techniques, subdorsal flap techniques, and surface dorsal techniques.

FAQs

  1. What is preservation rhinoplasty (PR) and what techniques are used?
  2. Who are JC Neves, D Toriumi, and A Göksel, and what have been their contributions to preservation rhinoplasty?
  3. What are dorsum-plasty osteotomies and the Ballerina maneuver, and how do they enhance the effectiveness of PR?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rhinoplasty is to carefully follow all pre and post-operative instructions to ensure optimal results and a smooth recovery. This may include avoiding certain medications, refraining from smoking, and attending all follow-up appointments for monitoring and care. Additionally, being open and honest with your surgeon about your goals and concerns can help them tailor the procedure to best meet your needs.

Suitable For

Patients who are typically recommended for rhinoplasty include those with nasal deformities, such as a crooked nose, large hump on the bridge of the nose, wide or bulbous tip, or a deviated septum causing breathing difficulties. Additionally, patients who are unhappy with the appearance of their nose and seek aesthetic improvement may also be candidates for rhinoplasty. It is important for patients to undergo a thorough consultation with a qualified plastic surgeon to determine if they are suitable candidates for the procedure.

Timeline

Before rhinoplasty:

  1. Patient researches and consults with a plastic surgeon to discuss goals and expectations.
  2. Surgeon evaluates patient’s nasal structure and discusses potential techniques and outcomes.
  3. Pre-operative planning and preparation, including medical clearance and discussion of potential risks and complications.
  4. Surgery is scheduled and patient receives instructions for pre-operative care.

After rhinoplasty:

  1. Patient undergoes surgery and is monitored in recovery for a period of time.
  2. Patient may experience swelling, bruising, and discomfort in the days following surgery.
  3. Follow-up appointments with the surgeon to monitor healing progress and address any concerns.
  4. Swelling and bruising gradually subside over several weeks to months.
  5. Patient can expect to see final results of the rhinoplasty after a year or more, as the nose continues to settle and heal.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rhinoplasty surgery?
  2. What is the recovery process like after rhinoplasty?
  3. How long will it take to see final results from the rhinoplasty procedure?
  4. Are there any non-surgical alternatives to address my nasal concerns?
  5. How experienced are you in performing preservation rhinoplasty techniques?
  6. Can you show me before and after photos of patients who have undergone preservation rhinoplasty?
  7. What specific techniques do you plan to use during my rhinoplasty procedure?
  8. How will my nasal function be affected by the rhinoplasty surgery?
  9. What kind of follow-up care will be needed after the rhinoplasty surgery?
  10. Are there any specific lifestyle changes I should make before or after the rhinoplasty procedure to ensure optimal results?

Reference

Authors: Carlos Neves J, Toriumi DM, Göksel A. Journal: Facial Plast Surg Clin North Am. 2024 Nov;32(4):585-602. doi: 10.1016/j.fsc.2024.06.010. Epub 2024 Aug 10. PMID: 39341675