Book Description
With thousands of primary and secondary cases, Michael Evan Sachs has
devoted his career to perfecting the art and science of rhinoplasty
in general, and revision rhinoplasty in particular. Whether to
improve form or function of a previous surgery ? or just to ensure
the best possible result the first time ? this beautifully
illustrated atlas has much to offer both experienced and beginning
surgeons. This atlas illustrates not only how to repair problems, but
also how to modify and refine basic surgical technique in order to
minimize the incidence of failed procedures. Additionally, emphasis
is placed on recognizing problems early. Although it is impossible
for all primary rhinoplasties to turn out successfully, a large
percentage of problems that lead to failed procedures can actually be
identified and repaired immediately. By mastering the techniques in
this book, a primary revision can be performed intraoperatively
during the first procedure, thereby obviating the need for a
secondary revisional surgery.
Part 1 Philosophy/Planning/Art 1
Chapter 1 Philosophy of Successful Revision Rhinoplasty 3
Chapter 2 Planning 7
Chapter 3 Differences Between Revision and Primary Rhinoplasty 13
Chapter 4 Aesthetics 15
Chapter 5 The Peri-Operative Setting 17
Part 2 Techinque 19
Chapter 6 The Preservation and Restoration of Nasal Function 21
Chapter 7 Bony Nasal Vault 53
Chapter 8 Middle Nasal Vault 77
Chapter 9 Septum 107
Chapter 10 Columella 117
Chapter 11 Internal Nasal Valve Reconstruction 137
Chapter 12 Nasal Rotation 149
Chapter 13 Transition Zones 179
Chapter 14 Nasal Lip Complex 197
Chapter 15 Tip Introduction and Anatomy 207
Chapter 16 Tip Medialization 211
Chapter 17 Nasal and Tip Projection 243
Chapter 18 Total Tip Reconstruction 287
Chapter 19 Titanium Nasal Reconstruction 301
Part 3 Workshop 323
Chapter 20 Case Examples 325
Index 387