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Dorsal Flattening with Periosteal Tensioning: Management of the Central Keystone Blocking Point in Dorsal Preservation Rhinoplasty: A Clinical and Anatomic Study.
[INTRODUCTION] The most common unwanted outcomes in preservation rhinoplasty continue to be the residual and the recurrent hump. [OBJECTIVE AND HYPOTHESES] We propose a new solution, contributing to preexisting techniques, to overcome this…
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Preventing Hump Recurrence in Dorsal Preservation Rhinoplasty: The 5 Key Tenets.
Preservation rhinoplasty has re-emerged over the past decade and continues to gain traction in the rhinoplasty community. Dorsal preservation rhinoplasty (DPR), one of the tenets of preservation rhinoplasty, centers on preservation of the n…
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Bony Dorsal Preservation.
Rhinoplasty is undergoing a transformation with the reemergence of dorsal preservation rhinoplasty (DPR) techniques. This article introduces a novel addition to the DPR repertoire, "bony dorsal preservation" (BDP), which has particular appl…
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Power-assisted preservation rhinoplasty: experience in 97 consecutive cases.
[BACKGROUND] Powered tools (PTs) are emerging as effective instruments in preservation rhinoplasty, offering enhanced precision for reshaping both bone and cartilage. This study aims to evaluate clinical outcomes and share key technical asp…
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The Blocking Points: The Keys to Consistent Success in Preservation Rhinoplasty.
Preservation rhinoplasty is a growing area of interest among rhinoplasty surgeons. Dorsal preservation-a tenet of preservation rhinoplasty-is predicated on maintaining the integrity of the nasal midvault and effecting aesthetic change throu…
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The Effect of Cannula Drain in Reducing Edema and Ecchymosis after Rhinoplasty.
Rhinoplasty is one of the most common plastic surgeries and is commonly associated with postoperative edema, ecchymosis, and pain which play a role in patients' dissatisfaction. In this randomized comparative study, we discuss the effect of…
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Low Strip Unifying Hybrid Rhinoseptoplasty: A Novel Classification in Dorsal Preservation Surgery.
[BACKGROUND] Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondrial dissection…
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Dorsal Preservation Rhinoplasty.
Controversies in Preservation Rhinoplasty" explores the nuanced indications, techniques, and challenges in preservation rhinoplasty (PR), featuring contributions from JC Neves, D Toriumi, and A Göksel. Neves recounts his early career under …
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Open Preservation Rhinoplasty Using the Piezo Electric Instrument.
Preservation rhinoplasty represents a growing shift in rhinoplasty philosophy toward preserving structurally sound anatomy and reshaping existing nasal structures into esthetic and functional ideals. It is fast gaining popularity owing to t…
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A Systematic Analysis of the Nasal Septum in Crooked Noses and Suggested Treatment Algorithm According to Preservation Rhinoplasty (PR) Principles.
[BACKGROUND] A deviated nose is a common problem among patients for both cosmetic and functional reasons. The correction remains a major challenge for the rhinoplasty surgeon. Unrecognized nasal septal deviations stand as the primary reason…
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Awareness of Facial Asymmetry and Its Impact on Postoperative Satisfaction of Rhinoplasty Patient.
[INTRODUCTION] Rhinoplasty surgeons often find that despite their best efforts to straighten the nose, patients often continue to perceive their nose as deviated, and this perception is particularly prevalent in patients with concurrent fac…
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Piezoelectric Osteotomies in Dorsal Preservation Rhinoplasty.
Dorsal preservation rhinoplasty requires precise management of the osseocartilaginous vault. Ultrasonic piezo instruments offer several advantages compared with traditional tools such as hand saws, rasps, and osteotomes. As always, an under…
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Biomechanical Nasal Anatomy Applied to Open Preservation Rhinoplasty.
Preservation rhinoplasty is a new way to reshape the nose by preserving the dorsum, nasal ligaments, soft tissue envelope, and muscles. This new concept provides the opportunity to achieve a more natural aesthetic and functional result. To …
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Optimization of the Soft Tissue Envelope of the Nose in Rhinoplasty Utilizing Fat Transfer Combined with Platelet-Rich Fibrin.
A thin or damaged skin soft tissue envelope may cause concerns in primary and secondary rhinoplasty. During postoperative healing, unpredictable scarring and contraction may occur and lead to significant aesthetic and trophic sequelae. Besi…
- Open Piezo Preservation Rhinoplasty: A Case Report of the New Rhinoplasty Approach.
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Options for Middle Vault and Dorsum Restoration after Hump Removal in Primary Rhinoplasty.
Prevention of unfavorable sequelae following humpectomy in reduction rhinoplasty by restoration of the middle nasal vault complex today has become imperative in the majority of patients with perhaps the exception of small humps. In general,…