ISSN: 2476-2490
Authors: Kadry M*
Rhinoplasty may be the most common, most challenging, most unforgiving in plastic surgery. It is an ultimate combination of an evolving art and science. Rhinoplasty is a precise surgery in which the margin of error is measured in millimeters. Excellent results can only be obtained by a thorough knowledge of nasal anatomy and the surgical relevance of the alteration of the anatomic structures. To a lot of the Junior Staff, Rhinoplasty is a blind procedure requiring much imagination. This procedure has always been a challenge to the plastic surgeons. Objectives: Since the early eighties I had all the worry a young plastic surgeon has: standardizing his results for Aesthetic Rhinoplasty. Results were not always what one expected, and definitely tip correction was a great challenge. It was then I embarked adopting the open Columellar Incision. I am sharing with you my journey over 40 years and the results of believing and mastering a technique, preaching it in different arenas, and the final results achieved d not only nationally or regionally but also internationally when this technique is now universally accepted as a precise tool for better refinement. The indications limitations and the ghost of the scar are shown and proved to be over stated. In the millennium different strategies (suturing and grafting) have been adopted to obtain better aesthetic outcome and less functional disturbances, all these seem to go hand in had with the open rhinoplasty incision. Different indications are briefly gone through in this review and the long-lasting results are shown. Conclusions: Excellent symmetry, Lack of supratip deformity, particularly in Secondary and Tertiary Rhinoplasty The scar was inconspicuous in the healing phase, then in a few months it tended to migrate lower down and becomes almost invisible. The use of either grafts or various tip sutures can help in the control of the tip dynamics. The aesthetic outcome following a combination of suturing and grafting was more satisfactory than the outcome that can be achieved following either one of them. All these techniques could not be achieved through a closed endonasal rhinoplasty
Keywords: Lower Case; Semicolon; Rhinoplasty; Open; Columellar Incision; Nasal Tip; Middle Eastern; Mediterranean Nose
