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