Abstract
Most patients seeking rhinoplasty desire enhancements of their nasal profiles. In fact, more than 80 % of all rhinoplasty patients are seeking a reduction rhinoplasty because they feel their nasal profiles are too prominent. However, it is first necessary to determine why the patient feels this way, since there are many different causes of the overly prominent nose. Proper characterization is critical, since failure to correctly analyze the cosmetic deformity may lead to inappropriate treatment and patient dissatisfaction. Is the problem a simple overprojected dorsal hump? Or is the entire nasal profile, including the nasal tip, overprojected (i.e., rhinomegaly)? Alternatively, does the excessive prominence result from a tension-nose deformity in which an overprojected dorsal septum gives rise to pinching of the middle vault and excessive elongation of the nostrils (Fig. 5.1)?
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Cakmak O, Bircan S, Buyuklu F, Tuncer I, Dal T, Ozluoglu LN. Viability of crushed and diced cartilage grafts: a study in rabbits. Arch Facial Plast Surg. 2005;7(1):21–6.
Daniel RK. Mastering Rhinoplasty: a comprehensive Atlas of surgical techniques with integrated video clips. Heidelberg: Springer; 2010.
Gruber RP, Peck GC. Rhinoplasty: state of the art. St. Louis: Mosby-Year Book; 1993.
Gruber RP, Perkins SW. Humpectomy and spreader flaps. Clin Plast Surg. 2010;37(2):285–91.
Gruber RP, Park E, Newman J, et al. The spreader flap in primary rhinoplasty. Plast Reconst Surg. 2007;119(6):1903–10.
Gunter JP, Rohrich RJ, Adams WP. Dallas rhinoplasty: nasal surgery by the masters. St. Louis: Quality Medical Publishing; 2002.
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Pirsig W, Fischer P. Behaviour of growing septal cartilage after autogenous transplantation into the retroauricular region (author’s transl). [Article in German]. Laryngol Rhinol Otol (Stuttg). 1982;61:115–9.
Rohrich RJ, Muzzafar AR, Janis JE. Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty. Plast Reconstr Surg. 2004;114(5):1298–308.
Sykes JM, Tapias V, Kim JE. Managment of the nasal dorsum. Facial Plast Surg. 2011;27:192–202.
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Gubisch, W. (2018). Primary Reduction of the Dorsum. In: Mastering Advanced Rhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-67537-4_5
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DOI: https://doi.org/10.1007/978-3-319-67537-4_5
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