1st Edition

Rhinoplasty in Practice An Algorithmic Approach to Modern Surgical Techniques

By Suleyman Tas Copyright 2022
    204 Pages 957 Color & 2 B/W Illustrations
    by CRC Press

    204 Pages 957 Color & 2 B/W Illustrations
    by CRC Press

    This book will enable the reader, regardless of their experience, to master the best rhinoplasty practice. It includes all contemporary techniques such as preservation, structural, and atraumatic rhinoplasty concepts, and makes them very practical to apply. Rhinoplasty in Practice not only explains the anatomy, historical evaluations, philosophy, descriptions, indications, limitations, and complications of rhinoplasty but also reports many innovative and unpublished data, tips, and tricks for success.

    The text is enhanced by:

    • Algorithms and tables for a clear understanding of the deformity and treatment techniques
    • Almost 100 full HD surgical and 3D animation videos (available via a Companion Website) to make the techniques clear, practical, and applicable
    • Over 500 superb illustrations to make the anatomy and surgical techniques more easily comprehensible, allowing the reader to follow each step and including cadaver, histological, ultrasonography, computed tomography, and clinical studies


    Chapter 1: Patient Selection in Rhinoplasty

    • Patient identification
    • Physical examination
    • Psychological evaluation
    • Functional evaluation
    • Aesthetic evaluation
    • Simulation study
    • Revisit

    Chapter 2: Closed Atraumatic Rhinoplasty

    2.1 Description and explanation of the closed atraumatic technique

    • Why this philosophy begins with the closed technique

    2.2 Stages of the closed atraumatic technique

    • Local injection
    • Incisions

      • Fundamental closed atraumatic rhinoplasty incisions
      • Classic rhinoplasty incisions

    • Dissection plane

    -Room concept

    • Preservation
    • Reshaping
    • Reconstruction
    • Structure
    • Redraping and closure

    2.3 Open and closed rhinoplasty comparison

    2.4 Submembranous - SubSMAS dissection plane comparison

    Chapter 3: Dorsum surgery

    3.1 Osteotomy

    • Osteotomy complications and prevention

      • Rocker deformity
      • Nasolacrimal duct damage
      • Airway problems
      • Management of complications

    3.2 Osteoplasty

    3.3 Maxilloplasty

    3.4 Dorsum surgery

    • The current techniques for dorsum surgery

    3.4.1 Excisional approach to the dorsum

    • The history of dorsum excision
    • Composite hump removal
    • Component hump removal
    • Dorsum reconstruction
    • Bone dust technique

      • Thickness of spreader flaps
      • Length of spreader flaps

    3.4.2 The dorsum preservation approach

    • The history of dorsum preservation
    • Dorsum preservation approach
    • Down techniques

      • Indications
      • Relative contraindication
      • Exact contraindication
      • Deciding on technique selection
      • General principles for down techniques
      • Incision
      • Septum
      • Ethmoid incision
      • Bone excision
      • Radix osteotomy
      • Dorsum dissection
      • Osteotomies
      • Wedge excision
      • Fixation
      • Residual hump

    • Step by step push down technique
    • Step by step let down technique
    • Step by step fix down technique

      • Related anatomy
      • Classification of septal and external deviations

    • Dorsal roof technique

    3.4.3 Dorsum algorithm in reduction rhinoplasty

    3.5 Dorsum augmentation

    • Ultra-diced cartilage method

    Chapter 4: Nasal tip surgery

    4.1 History of tipplasty

    4.2 Surgical anatomy and related deformities in tipplasty

    • The tripod concept
    • The effects of tipplasty techniques on the tripod
    • Supratip break point
    • Nostril image
    • Nostril deformities and possible treatment options
    • Lateral crus malposition
    • Medial crus malposition
    • Bifid nose deformity

    4.3 Tipplasty

    • Tipplasty techniques
    • Modern tipplasty
    • Lower lateral cartilage flaps
    • Lateral crural flap
    • ST flap (Superior based Transposition flap)
    • Reverse ST flap
    • Anatomic strut concept
    • Algorithm for the columellar strut concept
    • Anatomic columellar septal extension graft
    • The mystery of the Pitanguy ligament
    • Deep SMAS suture
    • Perichondrio-SMASectomy
    • What is the soft tissue hump, and where and how does it form?
    • Soft Tissue Redraping

    4.4 Use of electrocautery in rhinoplasty

    4.5 Blinking nose deformity and treatment

    Chapter 5: Alar Base Surgery

    5.1 Alar Excision

    • Indications
    • Algorithm
    • Surgical Technique

    5. 2 Alar Base Narrowing Suture

    5.3 Providing Symmetry on Vertical, Horizontal and Sagittal Planes

    • Alar Base Retraction
    • Algorithm
    • Releasing the Levator Alaeque Nasi Muscle
    • Releasing the Piriform Ligament
    • Maxillary Hypoplasia Treatment

    5.4 Releasing the Depressor Septi Nasi Muscle

    • Smiling deformity
    • Speaking deformity

    Chapter 6: Revision Rhinoplasty

    6.1 Dissection Plane in Revision Surgery

    6.2 The Closed Rhinoplasty Approach for Challenging Cases

    6.3 Saddle Nose Deformity

    • Classification of the saddle nose deformity

    6.4 Using Rib Cartilage in Revision Rhinoplasty

    • Harvesting of the Rib Cartilage

      • Thorax anatomy
      • Anatomic landmarks
      • Determining the incision
      • Surgical technique

    6.5 Costal Reconstruction in Revision Cases with Cleft Lip-Nose Deformity

    6.6 Using Auricular Cartilage Graft in Revision Surgery

    6.7 Diced Cartilage Flap Technique

    6.8 Restoring Tip Mobility in Revision Rhinoplasty Patients

    6.9 Treatment of Over Rotated Noses

    6.10 Fisherman Suture

    Chapter 7: Advanced Rhinoplasty

    7.1 Male Nose

    7.2 Female Nose

    7.3 Algorithmic Approach in Reduction Rhinoplasty According to Skin Type

    7.4 Rhinoplasty in Thin-Skinned Patients

    7.5 Rhinoplasty in Thick-Skinned Patients

    7.6 DUAL Plane Dissection

    7.7 Asian Rhinoplasty

    • Nasal tip bulbosity
    • Septal problems
    • Dorsal Augmentation
    • Wide pyramidal angle and wide base

    7.8 African Rhinoplasty

    7.9 Middle Eastern Rhinoplasty



    Associate Clinical Professor Suleyman Tas, MD, of the Tas Aesthetic Surgery Clinic, Istanbul, Turkey, is a Turkish and European Board Certified Plastic, Reconstructive & Aesthetic Surgeon with many years of national and global experience. He has performed thousands of rhinoplasty procedures, won numerous scientific awards, published over 50 international scientific articles, presented more than 500 papers, and created many patented instruments for rhinoplasty. In addition to his annual course on Closed Atraumatic Rhinoplasty—which has been endorsed by societies in Europe, the United States, and internationally, he has to date received over 2,000 international attending surgeons as delegates and been invited as speaker and faculty to many congresses internationally.