Incision, Approach, and Perioperative Medications and Instructions

  • Man Koon Suh


An incision is an opening made in the skin or mucosa that provides the operator an access to certain bony and cartilage structures of the nose. An approach is a surgical method performed to arrive at or expose a certain nasal structure, includes the dissection, and may require a combination of several incisions.

Further Reading

  1. 1.
    Totonchi A, Eshraghi Y, Beck D, et al. Von Willebrand disease: screening, diagnosis, and management. Aesthe Surg J. 2008;28(2):189–94.CrossRefGoogle Scholar
  2. 2.
    Guyuron B, Vaughan C, Schlecter B. The role of DDAVP (desmopressin) in orthognathic surgery. Ann Plast Surg. 1996;37(5):516–9.CrossRefGoogle Scholar
  3. 3.
    Faber C, Larson K, Amirlak B, Guyuron B. Use of desmopressin for unremitting epistaxis following septorhinoplasty and turbinectomy. Plast Reconstr Surg. 2011;128(6):728e–32e.CrossRefGoogle Scholar
  4. 4.
    Gruber RP, Garza RM, Cho GJ. Nasal bone osteotomies with nonpowered tools. Clin Plast Surg. 2016;43(1):73–83.CrossRefGoogle Scholar
  5. 5.
    DiMichele DM, Hathaway WE. Use of DDAVP in inherited and acquired platelet dysfunction. Am J Hematol. 1990;33:39–45.CrossRefGoogle Scholar
  6. 6.
    Palaia DA, Rosenberg MH, Ronanno PC. The use of DDAVP desmopressin reduces the incidence of microhematomas after faciopalsty. Ann Plast Surg. 2001;46:463–6.CrossRefGoogle Scholar
  7. 7.
    Rohrich RJ, Adams WP, Gunter JP. Postoperative management of the rhinoplasty patient. Dallas rhinoplasty. 3rd ed. St. Louis: QMP/CRC Press; 2014. p. 133–46.Google Scholar
  8. 8.
    Georgiou I, Farber N, Mendes D, et al. The role of antibiotics in rhinoplasty and septoplasty: a literature review. Rhinology. 2008;46:267–70.PubMedGoogle Scholar
  9. 9.
    Ariyan S, Martin J, Lal A, Cheng D, et al. Antibiotic prophylaxis for preventing surgical-site infection in plastic surgery: an evidence-based consensus conference statement from the American Association of Plastic Surgeons. Plast Reconstr Surg. 2015;135(6):1723–39.CrossRefGoogle Scholar
  10. 10.
    Lyle WG, Outlaw K, Krizek TJ, et al. Prophylactic antibiotics in plastic surgery: trends of use over 25 years of an evolving specialty. Aesthet Surg J. 2003;23(3):177–83.CrossRefGoogle Scholar
  11. 11.
    González-Castro J, Lighthall JG. Antibiotic use in facial plastic surgery. Facial Plast Surg Clin North Am. 2016;24(3):347–56.CrossRefGoogle Scholar
  12. 12.
    Clayton JL, Bazakas A, Lee CN, Hultman CS, et al. Once is not enough: withholding postoperative prophylactic antibiotics in prosthetic breast reconstruction is associated with an increased risk of infection. Plast Reconstr Surg. 2012;130(3):495–502.CrossRefGoogle Scholar
  13. 13.
    Phillips BT, Halvorson EG. Antibiotic prophylaxis following implant-based breast reconstruction: what is the evidence? Plast Reconstr Surg. 2016;138(4):751–7.CrossRefGoogle Scholar
  14. 14.
    Andrews PJ, East CA, Jayaraj SM, et al. Prophylactic vs postoperative antibiotic use in complex septorhinoplasty surgery: a prospective, randomized, single-blind trial comparing efficacy. Arch Facial Plast Surg. 2006;8(2):84–7.CrossRefGoogle Scholar
  15. 15.
    Graf R, Ascenço AS, Freitas Rda S, et al. Prevention of capsular contracture using leukotriene antagonists. Plast Reconstr Surg. 2015;136(5):592e–6e.CrossRefGoogle Scholar
  16. 16.
    Reid RR, Greve SD, Casas LA. The effect of zafirlukast (Accolate) on early capsular contracture in the primary augmentation patient: a pilot study. Aesthet Surg J. 2005;25:26–30.CrossRefGoogle Scholar
  17. 17.
    Gurlek A, Fariz A, Aydogan H, Ersoz-Ozturk A, et al. Effects of different corticosteroids on edema and ecchymosis in open rhinoplasty. Aesthet Plast Surg. 2006;30:150–4.CrossRefGoogle Scholar
  18. 18.
    Gruber RP, Zeidler KR, Berkowitz RL. Desmopressin as a hemostatic agent to provide a dry intraoperative field in rhinoplasty. Plast Reconstr Surg. 2015;135:1337–40.CrossRefGoogle Scholar
  19. 19.
    Eftekharian HR, Rajabzadeh Z. The efficacy of preoperative oral tranexamic acid on intraoperative bleeding during rhinoplasty. J Craniofac Surg. 2016;27(1):97–100.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Man Koon Suh
    • 1
  1. 1.JW Plastic Surgery CenterSeoulSouth Korea

Personalised recommendations