New Tools and Proven Techniques in Rhinoplasty
13 February 2019 (online)
Naming the first 2019 issue of Facial Plastic Surgery (FPS) “New Tools and Proven Techniques in Rhinoplasty” may seem an overly ambitious potpourri denomination. Actually, we think it is not, since these words well epitomize and combine what is happening in rhinoplasty today at a quickening pace: new tools, which lead to new techniques, are making a significant change in the results, a fact which is progressively being proven in clinical practice and is thus becoming established. At the same time, techniques which have demonstrated their worth over many years, and essentially are based on structural approach, are being refined, sometimes considerably, and thus factually improved.
Contemporary rhinoplasty can be considered a blend of both. Piezoelectric technology with its considerable impact on osteotomy and osteoplasty, new bone suture techniques and the use of silhouette threads for nasal valve lift are examples of the former. Current improvements in secondary rhinoplasty by refined autologous rib grafting, septal reconstruction techniques, and dorsum reconstruction by the use of diced cartilage glue grafts are examples of the latter. Airflow and rhinoplasty outcome measurements are, at the same time, emphasized in the current trend of proving the effects of maneuvers and techniques in an objectively evaluated manner.
Practically, this issue of FPS, enriched by the use of video clip contents, will provide an insight of what is happening at a bracing tread in the rhinoplasty world: as a matter of fact, readers should be warned that this will not necessarily make rhinoplasty simpler: probably, it will instead require the humble efforts by beginners and experts alike to reconsider some beliefs and change some paradigms. This may need some effort, but rhinoplasty is changing, and these changes, after all, are positive and have to be accepted, since they are positively changing the quality of our results.