Rhinoplasty Dissection Manual: Aesthetic Analysis

Appendix C - Aesthetic Analysis

LANDMARKS FOR ANALYSIS: POINTS
See figures on page 10.

Trichion: Anterior hairline in the midline

Glabella: Most prominent midline point of forehead, well appreciated on lateral view Nasion: Most posterior midline point of forehead, typically corresponds to nasofrontal suture

Rhinion: Soft-tissue correlate of osseocartilaginous junction of nasal dorsum Sellion: Osseocartilaginous junction of nasal dorsum

Supratip: Point cephalic to the tip

Tip: Ideally, most anteriorly projected aspect of the nose

Subnasale: Junction of columella and upper lip

Labrale superius: Border of upper lip

Stomion: Central portion of interlabial gap

Stomion superius: Lowest point of upper-lip vermilion

Stomion inferius: Highest point of lower-lip vermilion

Mentolabial sulcus: Most posterior midline point between lower lip and chin Pogonion: Most anterior midline soft-tissue point of chin

Menton: Most inferior point on chin

Cervical point: Point of intersection between line tangent to neck and line tangent to sub-mental region

Gnathion: Point of intersection between line from subnasale to pogonion and line from cervical point to menton

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Rhinoplasty
Dissection
Manual

Rhinoplasty Dissection
Manual Into
Contents
Foreward
Preface
Acknowledgements

Chapter 1:
Anatomy

Chapter 2:
Rhinoplasty Analysis
Landmarks for Analysis
Lab Exercise: Nasal
Analysis
Surface Angles, Planes,
and Measurment
Definitions
Rhinoplasty Analysis

Chapter 3:
Infiltrative Anesthesia
Technique

Chapter 4:
Nasal Dissection:
Septoplasty
with Cartilage Harvest

Chapter 5:
Incisions and
Approaches
Transcartilaginous or
Cartilage-Splitting
Approach
Delivery Approach
The External (Open)
Rhinoplasty Approach

Chapter 6:
Removal of Bony -
Cartilaginous Hump

Chapter 7:
Medial Osteotomies
Lateral Osteotomies and
Infracture
Intermediate
Osteotomies

Chapter 8:
Spreader Grafts

Chapter 9:
Surgery of the Tip:
Exercises

Chapter 10:
Alar Base Resection
Internal Nostril Floor
Reduction
Alar Wedge Excision
Sliding Alar Flap

Chapter 11:
Plumping Grafts
Caudal Extension Gratfs
Deviated Caudal Septum
Rib Cartilage Graft
Reconstruction of Saddle
Deformity

Chapter 12:
Harvesting Conchal
Cartilage
Harvesting Ethmoid
Bone
Harvesting Rib Graft
Harvesting Calvarial
Bone

Chapter 13:
Closure of Midcolumellar
Incision
Closure of the Marginal,
Intercaetilaginous, or
Transcartilaginous
Incision
Placement of Intranasal
Packs, Nasal Splint
Postoperative Care

Appendix A:
Tripod Concept

Appendix B:
Guide to Nasal Analysis

Appendix C:
Aesthetic Analysis

Appendix D:
Surface Angles, Planes,
and Measurement:
Definitions

Appendix E:
Tip Support, Incision,
and Approaches

Appendix F:
Achieving Surgical
Goals: Selected Options

Appendix G:
Selected Complications
of Rhinoplasty

Appendix H:
Adjunctive Procedures

Appendix I:
Cleft Lip Nasal Deformity

Appendix J:
Photography Setup

Appendix K:
Indications for External
Rhinoplasty Approach

Appendix L:
Suggested Surgical
Instruments for
Rhinoplasty

Appendix M:
List of Selected
Companies with
Addresses / Phone
Numbers

Appendix N:
Selected Recommended
Literature

Issues of the Nose

Unique Problems

Finesse Surgery

Ethnic Rhinoplasty

Research and Media

Surgery In Depth

ABFPRS and ABO
Board Certified