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The split preservation rhinoplasty: “the Vitruvian Man split maneuver”

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Abstract

Rhinoplasty is undoubtedly one of the most challenging operations in the face. Since its introduction by the fathers of modern cosmetic rhinoplasty such as John Orlando Roe in the United States and Jack Joseph in Europe, we have witnessed many advances and refinements in the nose approach, and specifically in the management of the nasal dorsum. This is the case of the conservative rhinoplasty techniques, Push down and Let down, that have become very popular again in recent years. The aim of this article is to present a new modification of the dorsal conservative techniques with predictable and lasting esthetic results. We introduce the side split movement for the nasal septum and the front split movement for the lateral wall using the Vitruvian Man studies by Leonardo da Vinci to better understand how it reflects on the nasal profile.

Level of evidence: Level V, therapeutic study.

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Authors and Affiliations

  1. Board Certified in Facial Plastic and Reconstructive Surgery EBCFPRS, Otolaryngology & Head and Neck Surgery Specialist | MyFace, Clinics and Academy, Lisbon & Coimbra, Portugal

    Jose Carlos Neves

  2. Fellow of The European Academy of Facial Plastic Surgery, Otolaryngology & Head and Neck Surgery Specialist | Son Espases Hospital, Palma de Mallorca, Spain

    Diego Arancibia Tagle

  3. Otolaryngology & Head and Neck Surgery specialist, Facial Plastic Surgeon, Facial Plastic Surgery Clinica Dewes, Lajeado, Brazil

    Wilson Dewes

  4. Board Certified in Facial Plastic and Reconstructive Surgery IBCFPRS, Clinical Professor University of Washington, Director Larrabee Center for Plastic Center, Seattle, USA

    Wayne Larrabee Jr.

Authors
  1. Jose Carlos Neves
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  2. Diego Arancibia Tagle
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  3. Wilson Dewes
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  4. Wayne Larrabee Jr.
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Corresponding author

Correspondence to Diego Arancibia Tagle.

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Conflict of Interest

Jose Carlos Neves, Diego Arancibia Tagle, Wilson Dewes, and Wayne Larrabee Jr, declare that they have no conflict of interest.

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Neves, J.C., Arancibia Tagle, D., Dewes, W. et al. The split preservation rhinoplasty: “the Vitruvian Man split maneuver”. Eur J Plast Surg 43, 323–333 (2020). https://doi.org/10.1007/s00238-019-01600-3

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  • DOI: https://doi.org/10.1007/s00238-019-01600-3

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