Facial plast Surg 2010; 26(2): 110-118
DOI: 10.1055/s-0030-1253503
© Thieme Medical Publishers

Middle Eastern Rhinoplasty: Anatomy, Aesthetics, and Surgical Planning

Rollin K. Daniel1
  • 1Aesthetic and Plastic Surgery Institute, University of California Irvine, Irvine, California
Further Information

Publication History

Publication Date:
04 May 2010 (online)


Middle Eastern Rhinoplasty (MER) offers a challenging subset of nasal deformities. It has far greater variety in anatomical characteristics than previously thought and requires careful surgical planning. Critical techniques include the following; 1) reduce the specific component of the dorsal deformity, 2) use a balanced approach of augmentation and reduction whenever possible, 3) as reduction increses the need for spreader grafts increases, and 4) achieve tip shape with structural support and not excision.