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| Rhinoplasty can correct the nasal hump
(dorsum) and the tip, depending on the alterations and characteristics the nose
has, and it can either require a reduction in size, which is the most normal case,
or an increase. We also often correct, during the operation, the nasal septum
(septoplasty) and, were it necessary, the conchae. The patient in the photograph
shows the results of the correction of the nasal tip (it dropped and was wide)
and dorsum (presents moderate gibbous). |
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Rhinoplasty treats bridge (dorsum), nose tip and septum (nasal septum) depending
on the alterations the nose has. A nose might require a reduction in size, like
the patient in the picture, or an increase.
Rhinoplasty is one of the most common procedures in Spain and is especially
demanded by men. It's main objective is to achieve a greater harmonic effect,
not only of the nose as an independent structure, but also in relationship with
the facial physiognomy. The aim is to try to make a nose which corresponds to
each patient's features and which has a natural effect, and doesn't seem operated
on. That is why nose surgery is one of the biggest challenges a plastic surgeon
faces: it's the combination of science with art, skill and sensibility.
Rhinoplasty was traditionally considered the procedure to correct very big
noses (rhinomegaly) that usually present an abnormal hump in the ridge of the
nose (rhinokyphosis). 
• Aufricht, G.: Surgery of the radix and the
bony nose. Preliminary report of a new type of nasal clamp. "Plast. Reconstr.
Surg.". 22, 4 (1958).
• Hinderer, U.T.: Rhinoplasty: Routin
Stages and Additional Corrections. Transact. of the II Congress of the European
Section of the IPRS, 23, May 1973.
• Millard DR: Alar margin sculpturing.
Plast Reconstr Surg 40:337, 1967.
• Mir y Mir, L.: Fractures ia
rhinoplastv. Internat. "Soc.Plast.Surg.". 12 (1972).
• Peck,
G.C.: Sculpturing the nasal tip. The Amer. Soc. For Aesth. Plast.Surg. Inc,
Atlanta (1970).
• Pitanguy I.: Surgical Importance of a dermocartilaginous
ligament in bulbous noses. Plast. Reconstr. Surg. 36: 247, 1965.
• Psillakis.
J.M.; Albano, A.M.: Rhinoplasty: surgery of the tip of the nose by the book
flap technique "Rvta.Bras.Clin.Terap". 1.9: 587 (1972).
• Schrudde,
J.: La Ostecotomía subperiostea total en el estrechamiento de la nariz.
"Rev.Esp.Cir.Plast.". 3. 4:41 (1970).
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