Advanced Primary Rhinoplasty

摘要: What constitutes a difficult rhinoplasty? Traditionally, the answer is whatever rhinoplasty you are doing at that moment, or any operation pushes beyond your comfort zone. Objectively, I think major differences between Level 2 and 3 cases following: (1) severity of deformity, (2) complexity operative technique, (3) requirement for intraoperative flexibility. Essentially, these mandate something be done to all parts nose. One must modify integrate entire nose rather than simply lower profile refine tip. The plan often complex consisting myriad number grafts, infrequently performed techniques, asymmetric design. Intraoperative findings may require one make changes in original plan. How does progress from cases? For many surgeons, it challenge ethnic rhinoplasties which can have spectrum deformities range 3. Also, will on occasion realize intraoperatively problems g reater anticipated thereby increasing grade When frst entering practice, 33% consults appear cases. As gain experience zone expands, percentage decrease. Ultimately, enjoy technical demands