rhinoplasty refers to a series of surgical techniques that are used can change the aesthetic and functional properties of the nose. surgical access of the nose can by cuts in the nose (endonasal approach) or placed through incisions in the nose with cuts outside of the nostrils (external approach), usually combined placed derived placed on the columella.

The history of nasal surgery is very long. Papyrus Edwin Smith surgical from ancient Egypt describes the diagnosis and treatment of nasal deformities some 30 centuries. In about 800 BC, Sushruta, India, described an approach to nasal reconstruction based on the transfer of a forehead flap pedicle. In the 16th Century used Tagliacozzi Bologna, Italy, brachial-based delayed flaps to reconstruct the nose. The science and art of rhinoplasty remained essentially stagnant until the 19th Century. Approaches for the correction of nasal deformities were pioneers such as plastic surgery Dieffenbach in the 1840s that uses a buried frontal lobes, to use the bridge of the nose cover.

The first published account of a modern endonasal rhinoplasty can be attributed to an ENT USA, John Roe Orlando. His original article published in 1887, was entitled “The deformation called” pug-nose “and its correction by a simple operation” and described the treatment of saddle nose deformities. In 1892, Robert F. Weir, another American surgeon, published his techniques for correcting addition saddled nose.

In 1898 Jacques Joseph, an orthopedic surgeon by training, has presented his revolutionary concepts of nasal surgery in the Medical Society of Berlin. Many aspiring rhinoplasty surgeons traveled to Germany to follow Joseph’s rhinoplasty practice. His general reputation as the father of modern rhinoplasty can not by its influence in the development of many concepts and techniques of rhinoplasty are supported. In fact, most remain on the maneuvers core rhinoplasty is essentially the same as today, when Joseph first to describe. Joseph concepts and techniques have also been published (in particular the U.S.) by surgeons as Gustav Aufricht Joseph Safian, and Samuel Fomon. Fomon lessons and courses medical review on endonasal rhinoplasty helped the formation of many early modern rhinoplasty surgeons, such as Maurice Cottle of Chicago and Irving Goldman in New York.

have in the relatively short history of modern rhinoplasty rhinoplasty many other masters contributed to the development of this area. Many surgeons continue our understanding of art and science of rhinoplasty in their academic and clinical work ahead. The further classification and dissemination of knowledge, the hope rhinoplasty patient and surgeon like.

In general, the analysis of the nose can be divided into 4 blocks addressing different areas of the nose profits divided. The first is the lower third of the nose (the tip and base), the second is in the middle third of the nose (middle vault), the third in the top third of the nose (bony vault), and the fourth is the septum. The typical first step for a successful rhinoplasty are (1) careful preoperative analysis of patient concerns and nasal deformities, and (2) a list of problems. Accurate preoperative diagnosis can of aesthetic and functional problems then help operations aligned rhinoplasty.

After a routine (but important) case history interview and physical examination, the surgeon noted, addressed the face and nose. The patient evaluation begins listening to music, the patients’ main concerns and wishes. Despite the fact that most patients want to undergo rhinoplasty for aesthetic reasons, the functional role of the nose can be kept in mind.

Questions nasal function are important, especially for some patients diagnosed with functional nasal problems were. Most rhinoplasty procedures tend to shrink the nasal passages. As to limit such patients before surgery with respiratory problems may experience normal nasal nasal breathing after surgery. In recognition of the functional problems before the surgery, many patients with nasal improvement of nasal surgery. to diagnose the doctor’s responsibility and educate patients on the existing functional deficits. No amount of profit is an aesthetic value in order to paralyze the functioning of the nose. Finally, understand, as with any plastic surgery, the patient’s mental stability, the ability to take risks and benefits of the proposed method, and the sense of body self-image to be evaluated.

aesthetic goals of rhinoplasty in the requirements of the patient, the patient’s nasal anatomy are formed, and recommendations of the surgeon’s aesthetic ideals based. A full discussion of facial aesthetics is beyond the scope of this article, but a number of important points are highlighted. aesthetic ideals and standards in proportion to the man’s face and nose have been well studied and documented by artists, behavior specialists and doctors. This aesthetic standards are in most of the white patients valid, but can not can also be used in patients of other races make sense for ideal anthropometric values of a number of angles of the face and reports as a useful guide ideal angle of the face and nose are the following: ..

nasofrontal angle – 115-130 °
nasofaciaux angle – 36 degrees (30-40 degrees)
nasolabial angle – 90 to 105 ° (men), 100-120 ° (female)

At the end of the day, based much of Excellence on rhinoplasty hands, testing and experience of the surgeons. Dr. John Vartanian is a double-board certified facial plastic surgeon with a high level in primary and revision rhinoplasty. For more information about Dr. John Vartanian to
Rhinoplasty