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CHAPTER 1 NASAL ANATOMY，NASAL ANALYSIS，AND THE RHINOPLASTY CONSULTATION&Rami K.Batniji，MD，FACS and Stephen W.Perkins，MD 1

Applied Nasal Anatomy 1

Facial Analysis 2

Nasal Analysis 3

Consultation 4

Acknowledgments 6

References 6

CHAPTER 2 PRIMARY RHINOPLASTY:INTERMIXED USE OF ENDONASAL AND EXTERNAL COLUMELLAR APPROACHES&Stephen W.Perkins，MD 7

Consultation 8

Preoperative Examination and Analysis 8

Choosing the Appropriate Surgical Approach 10

Photographic Documentation and Computer Imaging 12

Surgical Approach 12

The Order of the Procedures Performed in Primary Endonasal Rhinoplasty 13

Tip Support and the Incisional Approach to the Nose 14

Profile Plasty 14

Radix Grafts 15

Dorsal Augmentation 15

Spreader Grafts 16

Osteotomies 16

Tip Grafts 17

Specific Tip-Sculpting Techniques 17

Operative Effects or Results that are Achieved by Sutured Double-Dome Tip Surgery 17

Alar Recurvature and AIar Collapse 27

Finishing Touches Using Refinement Techniques 28

Postoperative Nasal Dressings and Care 29

Summary 30

References 30

CHAPTER 3 TIP RHINOPLASTY&Rami K.Batniji，MD，FACS and Stephen W.Perkins，MD 33

Introduction 33

Facial Analysis 33

Preoperative Considerations 33

Technique 34

Postoperative Care 41

Complications 43

Acknowledgments 44

References 44

CHAPTER 4 PROFILE-PLASTY:THE BONY AND CARTILAGINOUS NASAL VAULT&Stephen W.Perkins，MD and Henry D.Sandel，IV，MD 45

Consultation 45

Computer Imaging 47

The Procedures of Profile-plasty 49

Osteotomies 52

Radix Grafts 53

Complications of Profile-plasty and Management of the Bony Nasal Vault 53

References 55

CHAPTER 5 POSTTRAUMATIC NASAL DEFORMITY AND NASAL FRACTURE MANAGEMENT&Rami K.Batniji，MD，FACS and Stephen W.Perkins，MD 57

Introduction 57

Incidence 57

Mechanism of Injury 58

Diagnosis 59

Treatment 61

Complications 63

Conclusion 64

Acknowledgments 64

References 64

CHAPTER 6 SECONDARY RHINOPLASTY WITH TOTAL LOBULAR RECONSTRUCTION&Henry D.Sandel IV，MD and Stephen W.Perkins，MD 65

Indications for Revision Nasal Surgery 69

Indications for Total Lobular Reconstruction 70

Surgical Approach to the Nose 70

Systematic Approach to Defects 70

Secondary Rhinoplasty for Correction of Errors of Commission 75

Grafts used in Secondary Rhinoplasty for Correction of Dorsal Deformities 77

Mar Collapse and Retraction 80

Summary 86

References 88

CHAPTER 7 LENGTHENING THE SHORT NOSE&Henry D.Sandel IV，MD and Stephen W.Perkins，MD 89

Introduction 89

Facial Analysis 89

Literature Review 90

The Short Nose 91

Case Studies 92

Conclusion 99

References 101

INDEX 103