Primary Open Rhinoplasty.


:Rhinoplasty is perhaps the most complex cosmetic surgery procedure performed today. It is characterized by an intricate interplay between form and function, with patient satisfaction being dependent not only on improvement of nasal appearance but also resolution of preexisting airway symptoms. The prerequisite for successful execution of this challenging procedure is a thorough understanding of nasal anatomy and physiology. Hence, a thorough preoperative evaluation is at least as important and the surgical skill in performing the operation. Establishing an accurate diagnosis through a comprehensive nasal analysis is obligatory. As to the surgical approach, much has been written about the advantages and disadvantages of closed vs open rhinoplasty. The more commonly chosen open approach has numerous advantages, including improved visualization without distortion, thus, enabling precise diagnosis and correction of deformities. While the surgical treatment of existing nasal deformities is tailored to the needs of the individual patient, the authors have noted a total of 10 essential components to form the foundation for successful technical execution of rhinoplasty. These include: (1) septoturbinotomy; (2) opening the nose; (3) humpectomy/spreader flaps; (4) tip-plasty; (5) supratip-plasty; (6) columellar strut; (7) dorsal augmentation; (8) nasal base reduction; (9) osteotomies; and (10) rim grafts. Postoperative, a variety of problems, such as edema, may be successfully addressed without surgical intervention. Diligent postoperative management is critical in ensuring a positive patient experience. Finally, a comprehensive understanding of possible postoperative complications, such as bleeding, ecchymosis, edema, and persistent or new iatrogenic deformity is mandatory prior to offering rhinoplasty to patients.


Aesthet Surg J


Momeni A,Gruber RP




Has Abstract


2016-10-01 00:00:00














  • A novel prospective three-dimensional analysis of nasolabial fold augmentation.

    abstract:BACKGROUND:There are many products approved for aesthetic soft tissue augmentation. Despite this abundance, there is limited objective data regarding safety, longevity, and complication rates. Instead, most reports rely on subjective measures to report volume changes and outcomes, making product comparison difficult. ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Davila AA,Buck DW 2nd,Chopp D,Connor CM,Persing S,Rawlani V,Kim JY

    更新日期:2012-05-01 00:00:00

  • Do Genital Cosmetic Procedures Improve Women's Self-Esteem? A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:The popularity of genital cosmetic procedures in women is increasing. These procedures are often assumed and promoted as having a positive effect on women's psychological well-being, particularly their self-esteem. Empirical support for these claims is lacking. OBJECTIVES:The aim of this study was to conduc...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,meta分析


    authors: Sharp G,Maynard P,Hudaib AR,Hamori CA,Oates J,Kulkarni J,Sarwer DB

    更新日期:2020-09-14 00:00:00

  • Facelift complications and the risk of venous thromboembolism: a single center's experience.

    abstract:BACKGROUND:The number of facelifts performed in the United States has steadily increased over the past decade. Moreover, the risk of venous thromboembolism in plastic surgery has been established in recent studies. OBJECTIVES:The authors investigate the overall complication rate in a single-center series to identify r...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Abboushi N,Yezhelyev M,Symbas J,Nahai F

    更新日期:2012-05-01 00:00:00

  • Safety and efficacy of a continuous-flow, injection-assisted device in delivery of dermal fillers.

    abstract:BACKGROUND:A device to assist in the delivery of dermal filler may achieve reductions in patient discomfort and adverse events, as well physician fatigue. It may also increase the accuracy of material placement. OBJECTIVES:The authors assess the safety and performance of the Artiste Assisted Injection System (Nordson ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,随机对照试验


    authors: Lorenc ZP,Bruce S,Werschler WP

    更新日期:2013-07-01 00:00:00

  • Outcomes of fractional CO2 laser application in aesthetic surgery: a retrospective review.

    abstract:BACKGROUND:Despite the effectiveness of ablative CO(2) laser resurfacing for facial rejuvenation, its application has been limited owing to an undesirable side-effect profile, including prolonged hyperemia and potential pigmentary changes. However, newer fractional CO(2) laser technology has reduced the recovery time a...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Neaman KC,Baca ME,Piazza RC 3rd,VanderWoude DL,Renucci JD

    更新日期:2010-11-01 00:00:00

  • Nonsurgical Management of Facial Masculinization and Feminization.

    abstract:BACKGROUND:Transgender patients may seek nonsurgical methods for facial masculinization and feminization as an adjunct or alternative to undergoing surgical procedures. OBJECTIVES:The authors reviewed the existing literature regarding this topic and provided an overview of nonsurgical techniques for facial masculiniza...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审


    authors: Ascha M,Swanson MA,Massie JP,Evans MW,Chambers C,Ginsberg BA,Gatherwright J,Satterwhite T,Morrison SD,Gougoutas AJ

    更新日期:2019-04-08 00:00:00

  • Augmentation Mammaplasty After Breast Enhancement With Hyaluronic Acid.

    abstract:BACKGROUND:Macrolane is a stabilized, hyaluronic acid-based gel that has been available since 2007 as a minimally invasive, nonpermanent option for breast enhancement. However, numerous controversies pertaining to its side effects have highlighted the need for studies involving larger groups of patients. OBJECTIVES:Th...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Trignano E,Rusciani A,Armenti AF,Corrias F,Fallico N

    更新日期:2015-08-01 00:00:00

  • Reassessing minimal incision brachioplasty.

    abstract::After 4 years of experience with this technique, the author recommends using minimal incision brachioplasty (MIB) to treat mild to moderately severe upper arm soft tissue excess and laxity. However, when treating arms with gravity-induced skin furrows, he finds MIB problematic. ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Richards ME

    更新日期:2005-03-01 00:00:00

  • Abdominal Wall Plication and Correction of Deformities of the Myoaponeurotic Layer: Focusing on Materials and Techniques Used for Synthesis.

    abstract::The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of spec...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审


    authors: Nahas FX,Faustino LD,Ferreira LM

    更新日期:2019-03-14 00:00:00

  • Endoscopic forehead lift.

    abstract::Endoscopic forehead rejuvenation offers the advantages of greater patient acceptance and lower complication rates. The author describes technical modifications that make the endoscopic approach effective in a wide range of patients. Particular attention is paid to the problem of asymmetry. When the preoperative differ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Daniel RK

    更新日期:2001-03-01 00:00:00

  • Defining Normal Parameters for the Male Nipple-Areola Complex: A Prospective Observational Study and Recommendations for Placement on the Chest Wall.

    abstract:Background:The nipple-areola complex (NAC) is important aesthetically and functionally for both sexes. Methods for positioning the NAC in males are less well established in the literature compared to females but are just as important. Objectives:This study aims to determine the normal parameters for the male NAC, to r...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Yue D,Cooper LRL,Kerstein R,Charman SC,Kang NV

    更新日期:2018-06-13 00:00:00

  • Breast reduction scars: a prospective survey of patient preferences.

    abstract:BACKGROUND:Studies have shown that scarring is a primary reason for patient dissatisfaction with reduction mammaplasty. OBJECTIVES:The authors prospectively evaluated patient preferences for the 3 most common breast reduction scar patterns: horizontal, vertical, and Wise. METHODS:Sixty-six patients were recruited for...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: White CP,Farhang Khoee H,Kattan AE,Farrokhyar F,Hynes NM

    更新日期:2013-08-01 00:00:00

  • Facial attractiveness: is the whole more than the sum of its parts?

    abstract:BACKGROUND:In order for aesthetic surgery to participate in the movement toward evidence-based medicine, a system that quantifies aesthetic outcomes must be developed based on reliable and reproducible data. Previous studies have investigated the attractiveness of averaged (or composite) faces. Data has shown that thes...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Sharabi SE,Hatef DA,Hollier LH Jr

    更新日期:2010-03-01 00:00:00

  • Beyond the L-Strut: Redefining the Biomechanics of Rhinoplasty Using Topographic Optimization Modeling.

    abstract::Rhinoplasty utilizes cartilage harvested from the nasal septum as autologous graft material. Traditional dogma espouses preservation of the "L-strut" of dorsal and caudal septum, which is less resistant to axial loading than virgin septum. Considering the 90° angle between dorsal and caudal limbs, the traditional L-st...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审


    authors: Glass GE,Staruch RMT,Ruston J,East CA,Tan PJ

    更新日期:2019-11-13 00:00:00

  • Immediate and delayed hypersensitivity reactions to restylane.

    abstract::We report two cases of hypersensitivity reactions to Restylane. In the first case, edema developed in a 57-year-old Hispanic woman 10 minutes after injection of 0.7 mL of Perlane around her upper commissures and Botox in her upper face. The patient had been skin tested for Restylane several months earlier and showed n...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Bellman B

    更新日期:2005-09-01 00:00:00

  • Understanding and using hyaluronic acid.

    abstract::Injectable synthetic hyaluronic acid is biodegradable and biocompatible with human hyaluronic acid. Soft tissue augmentation with this product does not require prior skin testing and provides robust augmentation. Its ability to attract and maintain significant amounts of water accounts for the volume and duration of c...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Matarasso SL

    更新日期:2004-07-01 00:00:00

  • Evidence-Based Plastic Surgery: Its Rise, Importance, and a Practical Guide.

    abstract::There is a perfect storm developing in 21st century healthcare; rising complexity and patient expectations in the context of fiscal restraint. Evidence-based medicine (EBM) may be the best-kept secret in dealing with the "storm." Such an approach prefers management pathways that deliver better outcomes at less relativ...

    journal_title:Aesthetic surgery journal

    pub_type: 历史文章,杂志文章,评审


    authors: Agha RA,Orgill DP

    更新日期:2016-03-01 00:00:00

  • The aesthetics of hair restoration.

    abstract::The hairline and frontal hair volume are frequently overlooked aspects of attractive facial proportion and overall facial aesthetics. The author contends that patient benefit from hair restoration surgery is significant, and these procedures should be routinely considered as part of a complete facial rejuvenation. ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Vogel JE

    更新日期:2004-11-01 00:00:00

  • Assessing the long-term viability of facial fat grafts: an objective measure using computed tomography.

    abstract:BACKGROUND:Autologous fat transplantation for soft tissue augmentation is a commonly used technique without a universally accepted approach. The literature includes a variety of reports describing varying degrees of success or failure. OBJECTIVE:To evaluate the behavior of facial fat grafts in humans with the use of a...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,随机对照试验


    authors: Fontdevila J,Serra-Renom JM,Raigosa M,Berenguer J,Guisantes E,Prades E,Benito-Ruiz J,Martinez E

    更新日期:2008-07-01 00:00:00

  • Fat tissue as a permanent implant: new instruments and refinements.

    abstract::The author presents guidelines and new instruments for transplanting autologous fat. He describes this procedure as effective, predictable, and reliable when performed with careful donor-zone preparation, atraumatic fat extraction, anaerobic sterility, and precise placement in a properly prepared receiving zone. (Aest...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Monreal J

    更新日期:2003-05-01 00:00:00

  • Social Media Return on Investment: How Much is it Worth to My Practice?

    abstract:Background:Plastic surgeons are rapidly integrating social media into their practices and recent articles on the subject have exploded in the literature. Although social media is being evaluated as a tool, few have actually been able to quantify the impact of social media on a practice. Objectives:To quantify the retu...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Gould DJ,Nazarian S

    更新日期:2018-04-06 00:00:00

  • Lower Eyelid Blepharoplasty: Does the Literature Support the Longevity of this Procedure?

    abstract:Background:Lower eyelid blepharoplasty has continued to evolve with ongoing debate regarding optimal techniques. Despite large case series publishing excellent results and minimal complications, the true longevity of these procedures remains unclear. Objectives:The aim of this study was to determine how thoroughly the...

    journal_title:Aesthetic surgery journal

    pub_type: 历史文章,杂志文章,评审


    authors: Wilson SC,Daar DA,Maliha SG,Abdou SA,Levine SM,Baker DC

    更新日期:2018-11-12 00:00:00

  • Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants: Short-Term Results With the First 620 Consecutive Cases.

    abstract:Background:The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons. Objectives:To evaluate outcomes of a surgeon newly adopting this method at the beginning of...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Montemurro P,Agko M,Quattrini Li A,Avvedimento S,Hedén P

    更新日期:2017-07-01 00:00:00

  • Intranasal surgical approach for malar alloplastic augmentation.

    abstract:BACKGROUND:Alloplastic malar augmentation is becoming an increasingly common procedure for enhancement of the midface and an adjunct method of improving the effects of other rejuvenation procedures. OBJECTIVES:The authors present a new surgical approach for placement of malar implants by means of an intranasal incisio...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: de la Peña-Salcedo JA,Soto-Miranda MA,Lopez-Salguero JF

    更新日期:2012-01-01 00:00:00

  • Local anesthetic systemic toxicity.

    abstract::Local anesthetic systemic toxicity (LAST) is a rare yet devastating complication from the administration of local anesthesia. The ability to recognize and treat LAST is critical for clinicians who administer these drugs. The authors reviewed the literature on the mechanism, treatment, and prevention of LAST, with the ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审


    authors: Dickerson DM,Apfelbaum JL

    更新日期:2014-09-01 00:00:00

  • A comprehensive examination of topographic thickness of skin in the human face.

    abstract:BACKGROUND:Knowledge of topographic skin thickness is important to plastic surgery of the face as it may guide resection and restoration in oncologic, aesthetic, and reconstructive procedures. OBJECTIVE:The purpose of this study is to report the relative thickness of the face throughout 39 distinct subunits. METHODS:...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Chopra K,Calva D,Sosin M,Tadisina KK,Banda A,De La Cruz C,Chaudhry MR,Legesse T,Drachenberg CB,Manson PN,Christy MR

    更新日期:2015-11-01 00:00:00

  • Rivaroxaban for Venous Thromboembolism Prophylaxis in Abdominoplasty: A Multicenter Experience.

    abstract:BACKGROUND:Abdominoplasty, a commonly performed aesthetic procedure, is considered to have an increased risk of venous thromboembolism (VTE) events. At present, routine VTE chemoprophylaxis following abdominoplasty remains controversial. OBJECTIVES:This study evaluates the authors' experience with rivaroxaban, an oral...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,多中心研究


    authors: Hunstad JP,Krochmal DJ,Flugstad NA,Kortesis BG,Augenstein AC,Culbertson GR

    更新日期:2016-01-01 00:00:00

  • A clinical review of total body lift surgery.

    abstract:BACKGROUND:Until 2001, body contouring surgery after massive weight loss was uncoordinated, with few patients achieving compete rehabilitation. OBJECTIVE:The authors report a 5-year, retrospective, 75-case clinical review to determine the effectiveness, reliability, and safety of single and multistage total body lift ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Hurwitz DJ,Agha-Mohammadi S,Ota K,Unadkat J

    更新日期:2008-05-01 00:00:00

  • Microtexture and the Cell/Biomaterial Interface: A Systematic Review and Meta-Analysis of Capsular Contracture and Prosthetic Breast Implants.

    abstract:BACKGROUND:The use of textured breast implants over smooth implants has been widely shown to have a lower incidence of capsular contracture. However, the impact of micropatterning techniques on the incidence of postoperative patient morbidity has not been comprehensively investigated. OBJECTIVES:The authors sought to ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,meta分析


    authors: Shauly O,Gould DJ,Patel KM

    更新日期:2019-05-16 00:00:00

  • How to Maximize Aesthetics in Autologous Breast Reconstruction.

    abstract::With continuous technical and functional advances in the field of breast reconstruction, there is now a greater focus on the artistry and aesthetic aspects of autologous reconstruction. Whereas once surgeons were most concerned with flap survival and vessel patency, they are now dedicated to reconstructing a similarly...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章


    authors: Wagner RD,Hamilton KL,Doval AF,Spiegel AJ

    更新日期:2020-11-17 00:00:00