Rhinoplasty Introduction Computer Imaging

With computer imaging, the surgeon shows the patient an imaging result that is the goal for surgery, with the objective of making sure that the patient agrees with the goal. The patient understands that this is not a guarantee but rather a shared goal.

Computer imaging is a very helpful way to com­municate surgical goals. It is important for the surgeon to know what the patient wants to accom­plish, and the patient must know what the surgeon envisions as a goal for the surgical result. Computer imaging is extremely useful for communicating this information.

Careful presurgical planning is an important part of rhinoplasty. The author typically "performs" each surgery at least 6 times: first (mentally) during the patient's first office visit, again upon additional refl ec­tion, a third time after careful review of the preopera­tive photography, a fourth time just prior to the actual surgery, a fifth time is the actual surgery, and then the sixth times (and possibly more) after the surgery as review, "postsurgery analysis."

The author advocates a conservative approach to rhinoplasty, avoiding over-aggressive resection ma­neuvers, focusing on maintaining structural support, and seeking a natural unoperated appearance.

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