Rhinoplasty - Cases and Techniques

399 Pages·2011·98.55 MB·English

by  Michael S. Godin

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Rhinoplasty
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Learn a multitude of techniques and approaches from
Cases and Techniques
many of the world‘s leading rhinoplasty surgeons
The most demanding and challenging of all aesthetic surgical procedures, rhinoplasty is made R Michael S. Godin
easily accessible in this practical, how-to book from many of the world’s leading practitioners. Not h
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only does Rhinoplasty: Cases and Techniques demonstrate a wide array of approaches, techniques, n
outcomes, and surgical pearls, tips, and nuances, but it also offers a unique cross-cataloguing o
feature that is especially helpful for referencing specific deformities and the procedures used to p
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correct them. a
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Special Features y
• Virtually every nasal deformity is indexed and cross-referenced, so that you can quickly find the
nasal type and procedure you are looking for—and learn how leading experts have tackled the
same operative situation you are facing
• Contributions from 29 preeminent international surgeons ensure that you have techniques from
the masters at your fingertips
• Nearly 1,000 full-color intraoperative and before-and-after photographs and drawings help you
visualize every concept
• Each of the 69 illustrated case studies contain detailed surgical analysis, plans, goals, operative
sequences, and outcomes that will increase your knowledge of individual techniques and
approaches
• Surgical videos demonstrating techniques for executing surgical plans, as well as PDFs of all case
studies, are available at MediaCenter.thieme.com, via a scratch-off code page in the book.
• Important fundamentals on patient selection, preparation, techniques, postoperative care,
complications, and sequelae are covered thoroughly—especially helpful for residents and new
practitioners
Rhinoplasty: Cases and Techniques offers examples, insights, and expertise from many of the finest
surgeons in the world as you plan your own procedures. It is essential reading for all facial plastic
surgeons, plastic surgeons, otolaryngologists, residents, and fellows who are preparing, studying
for, and performing safe, effective, and successful rhinoplasty.
Michael S. Godin, MD, is a Clinical Professor and the Director of Facial Plastic Surgery, Department
of Otolaryngology / Head and Neck Surgery, Virginia Commonwealth University, Richmond,
Virginia.
An award-winning international medical and scientific publisher, Thieme has demonstrated its
commitment to the highest standard of quality in the state-of-the-art content and presentation
of all of its products. Thieme’s trademark blue and silver covers have become synonymous with
excellence in publishing.
ISBN 978-1-60406-680-7
MediaCenter.thieme.com
plus e-content online
www.thieme.com
Rhinoplasty
Cases and Techniques

Rhinoplasty
Cases and Techniques
Michael S. Godin, MD
Clinical Professor and Director of Facial Plastic Surgery
Department of Otolaryngology/Head and Neck Surgery
Virginia Commonwealth University
Private Practice
Richmond, Virginia
Thieme
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Printed in China
5 4 3 2 1
ISBN 978-1-60406-680-7
Disclosure
Dr. Michael S. Godin is a national faculty member, paid consultant, and speaker for Allergan Incorporated, Medicis Pharmaceuti-
cal Corporation, Merz Aesthetics Incorporated, and Surgiform Technology Ltd.

This book is dedicated to my wonderful parents, Carol and Stuart, for showing me the value of hard work
and perseverance; and to my sons, Miles and Jack, for whom I hope to do the same.
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Contents
Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xix
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi
Section I: Preparation Is Essential. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Michael S. Godin
Section II: Techniques. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Michael S. Godin
Section III: Postoperative Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Michael S. Godin
Section IV: Complications and Sequelae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Robert S. Schmidt and Michael S. Godin
Section V: Case Studies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Case 1 Major Deformity: Over-Projected Tip; Minor Deformities: Bifid Tip, Asymmetric Tip . . . . . . 74
Stephen Perkins
Case 2 Major Deformity: Over-Projected Tip; Minor Deformity: Small Dorsal Hump. . . . . . . . . . . . . . 78
William E. Silver and Sean R. Weiss
Case 3 Major Deformity: Over-Projected Tip; Minor Deformities: Dorsal Hump, Asymmetric
Dorsum, Broad Tip, Counter-Rotated Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
C. Spencer Cochran
Case 4 Major Deformity: Over-Projected Tip; Minor Deformities: Dorsal Convexity, Rounded
Tip, Microgenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Edwin F. Williams III and Timothy J. Minton
Case 5 Major Deformity: Over-Projected Tip; Minor Deformities: Rhinion Hump, Twisted Tip. . . . . 90
Richard E. Davis