Abstract
Rhinoplasty is one of the main facial plastic procedures performed worldwide. Ethnic patients today are mainly mixed-race patients. Diagnosis is based on anatomical findings and surgery should be planned based on patients’ needs and what they define as beautiful. Different surgical techniques are presented where a structural approach to rhinoplasty is explained. Very little tissue is resected and support structures of the nose are strengthened with sutures and grafts. A gradual approach to the nasal tip is also presented progressing from simple predictable techniques to more complex unpredictable ones. The final result should be noses with greater definition and refinement that are harmonious and blend in with patients’ faces.
Zusammenfassung
Die Rhinoplastik ist eine der wichtigsten weltweit durchgeführten gesichtschirurgischen plastischen Operationen. Ethnische Patienten sind heutzutage hauptsächlich Patienten gemischter Ethnizität. Die Diagnosestellung basiert auf den anatomischen Befunden, und die Operation sollte auf der Grundlage der Bedürfnisse der Patienten sowie ihrer Vorstellung von Schönheit geplant werden. Es werden verschiedene chirurgische Verfahren vorgestellt, für die ein strukturierter Ansatz in Bezug auf die Rhinoplastik erläutert wird. Dabei wird nur sehr wenig Gewebe reseziert, und die Stützstrukturen der Nase werden mit Nähten und Transplantaten verstärkt. Auch wird ein abgestuftes Vorgehen für die Nasenspitze dargestellt, welches von einfachen, planbaren Techniken bis zu komplexeren, nicht planbaren Verfahren reicht. Das Endergebnis sollte jeweils eine bessere Kontur und ein verfeinertes Erscheinungsbild der Nase sein, die sich damit harmonisch in das Gesicht der Patienten einfügt.
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R. Cobo declares that she has no competing interests.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975 (in its most recently amended version). Informed consent was obtained from all patients included in the study. Additional informed consent was obtained from all patients for whom identifying information is included in this article.
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Cobo, R. Ethnic rhinoplasty. HNO 66, 6–14 (2018). https://doi.org/10.1007/s00106-017-0452-7
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DOI: https://doi.org/10.1007/s00106-017-0452-7