By Barış Çakır
This beautifully illustrated booklet describes how thoughts formerly built by way of Dr. Rollin Daniel to be used in open rhinoplasty may be tailored to be used within the closed strategy. it's the author’s opinion that this mix deals larger suggestions in the course of surgical procedure, a shorter restoration interval and lack of scar. complete rationalization is equipped of preoperative guidance, together with overview of the nasal floor aesthetics utilizing the idea that of geometric polygons as aesthetic subunits to outline either the present deformity and the cultured pursuits. The surgical ideas built and changed to accomplish the specified floor visual appeal are then defined step-by-step by using a wealth of colour images. it really is illustrated how the radical dissection and redrape keep watch over tools decrease the therapeutic time and improve final result and an in depth sequence of case analyses is gifted to record some great benefits of the process. The ebook is written in a “cookbook layout” that may let plastic surgeons quick to benefit tips to make the most of the closed method of rhinoplasty to optimum aesthetic benefit.
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Extra info for Aesthetic Septorhinoplasty
1 Preoperative 38 1 mm chisels can achieve an osteotomy externally through a needle hole. ”Degussit” (Al2O3) serves as a good sharpening stone. 13 Sutures Arkansas Stone Sharpening stones help you extract better use from your chisels. Chisels become blunt after five to ten uses. A blunt chisel breaks the bone instead of cutting it. For osteotomy a newly sharpened chisel is essential. Arkansas stones do not create dust while sharpening the steel. You can moisten it with saline while sharpening. You should wipe the tip of the tool, if metal dust remains; it can cause permanent pigmentation on skin, especially in external osteotomies.
We inject aqueous fat without centrifuging it, so that the fat is distributed more homogenously. In the two drawings below only the foreheads are different. The noses are identical with each other. I recommend fat injection for 10–20 % of my patients. The navel, waist and knee medial are appropriate sites for harvesting fat. I usually prefer to take fat from the waist area. 5 Forehead Fat Grafting 21 Patient Example We made a fat injection into the forehead and chin of my patient who had rhinoplasty.
Macintosh: cmd-C (Windows: CTRL-C): this will copy the picture. 1 Patient Photographs 13 Go to the history and choose the original picture. With the paste command, the new nose will be pasted on the older one as a new layer. If we save this document as JPG, we can store it easily. The file that has more than one layer can only be saved as PSD format and opened by the Photoshop program. Because of this choose merge down under the layers menu. Macintosh: cmd-V (Windows: CTRL-V). cmd-E: Pastes all layers.
Aesthetic Septorhinoplasty by Barış Çakır