This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Cosmetic Surgery/ Procedures  • Nasal Surgery  • Alert me on articles by topic

Elizabeth G. Whitaker, MD; Calvin M. Johnson, Jr, MD

Arch Facial Plast Surg. 2003;5:291-300.

Modifications and innovations in open structure rhinoplasty that have occurred as this technique has evolved are discussed. In addition, the philosophy and fundamentals of open structure rhinoplasty are reexamined. A retrospective review of representative patients in a private practice setting was performed. All surgical procedures were conducted in a freestanding private surgery center. The preoperative and long-term results of each patient are compared to demonstrate the effectiveness of the described techniques. The fundamental philosophy of open structure rhinoplasty is the maintenance of the integrity and strength of the nasal skeleton. Modifications of tip grafting techniques, along with additional domal grafting techniques, and a stronger focus on domal suturing techniques result in a softer contour and lack of tip tensions while maintaining structural support.

From the Division of Facial Plastic Surgery, Department of Otolaryngology–Head and Neck Surgery, Medical College of Georgia, Augusta (Dr Whitaker); and Hedgewood Surgical Center and Department of Otolaryngology–Head and Neck Surgery, Tulane University School of Medicine, New Orleans, La (Dr Johnson). Dr Whitaker is now with Northwest Facial Plastic Surgery, Marietta, Ga.