ABSTRACT
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.
KEYWORDS
rhinoplasty - Middle Eastern rhinoplasty - tip suture
REFERENCES
- 1
Daniel R K.
Middle Eastern rhinoplasty in the United States: part I. Primary rhinoplasty.
Plast Reconstr Surg.
2009;
124
1630-1639
- 2
Daniel R K.
Middle Eastern rhinoplasty in the United States: part II. Secondary rhinoplasty.
Plast Reconstr Surg.
2009;
124
1640-1648
- 3 Daniel R K. Mastering Rhinoplasty. Heidelberg, Germany; Springer 2009
- 4
Bafaqeeh S A, Al-Qattan M M.
Open rhinoplasty: columellar scar analysis in an Arabian population.
Plast Reconstr Surg.
1998;
102
1226-1228
discussion 1229
- 5
Bizrah M B.
Rhinoplasty for Middle Eastern patients.
Facial Plast Surg Clin North Am.
2002;
10
381-396
- 6
Foda H MT.
External rhinoplasty for the Arabian nose: a columellar scar analysis.
Aesthetic Plast Surg.
2004;
28
312-316
- 7
Foda H MT.
Management of the droopy tip: a comparison of three alar cartilage-modifying techniques.
Plast Reconstr Surg.
2003;
112
1408-1417
discussion 1418-1421
- 8 Guyuron B.
The Middle Eastern nose. In: Matory WE Jr Ethnic Considerations in Facial Aesthetic Surgery. Philadelphia,
PA; Lippincott-Raven 1998: 363-372
- 9 Rohrich R J, Ghavami A.
The Middle Eastern nose. In: Gunter JP, Rohrich RJ, Adams WP Dallas Rhinoplast: Nasal Surgery by the Masters.
2nd ed. St. Louis, MO; QMP 2007
- 10 Daniel R K. Rhinoplasty: An Atlas of Surgical Techniques. New York, NY; Springer
2002
- 11
Daniel R K.
Hispanic rhinoplasty in the United States with emphasis on the Mexican-American nose.
Plast Reconstr Surg.
2003;
112
244-256
- 12
Goldman I B.
Surgical tips on the nasal tip.
Eye Ear Nose Throat Mon.
1954;
33
583-586
- 13
Simons R L.
Vertical dome division in rhinoplasty.
Otolaryngol Clin North Am.
1987;
20
785-796
- 14 Daniel RK Aesthetic Plastic Surgery: Rhinoplasty. Boston, MA; Little, Brown 1993
- 15
Daniel R K.
Rhinoplasty: creating an aesthetic tip. A preliminary report.
Plast Reconstr Surg.
1987;
80
775-783
- 16
Daniel R K.
Discussion of Constantian, M.B. The two essential elements for planning tip surgery
in primary and secondary rhinoplasty: observations based on review of 100 consecutive
patients.
Plast Reconstr Surg.
2004;
114
1582
- 17
Daniel R K.
Open tip suture techniques. Part I: primary rhinoplasty, part II: secondary rhinoplasty.
Plast Reconstr Surg.
1999;
103
1491
- 18
Gruber R, Chang T N, Kahn D, Sullivan P.
Broad nasal bone reduction: an algorithm for osteotomies.
Plast Reconstr Surg.
2007;
119
1044-1053
- 19
Daniel R K.
Tip refinement grafts: the designer tip.
Aesthet Surg J.
2009;
29
528-537
- 20 Johnson Jr C M, Toriumi D M. Open Structure Rhinoplasty. Philadelphia, PA; Saunders
1990
- 21
Daniel R K.
Rhinoplasty: dorsal grafts and the designer dorsum.
Clin Plast Surg.
2010;
37
293-300
Rollin K DanielM.D.
1441 Avocado Avenue, Suite 308
Newport Beach, CA 92660
Email: rtkdaniel@aol.com