New Approach to Rhinoplasty: A Five-Year Reappraisal

Abstract

A method of rhinoplasty, performed in 1,500 cases, features the following characteristics: a drastic reduction in the number of intranasal incisions as a result of the use of the cartilage-splitting approach and intramucosal hump removal; tip remodelling is the first major step of the operation and its postoperative projection is maintained by use of a cartilage strut; the continuity of the alar cartilages is preserved; internal lateral osteotomies are used, and mesial osteotomies and postoperative nasal packing are eliminated.