Operative Plastic Surgery

Fibrin plays a prominent role in wound healing. It has a hemostatic effect, induces cellular response to wound damage, and, by forming strands to build a matrix, assists in neovascularization and fibroblast proliferation.

Rhinoplasty is one of the most challenging procedures in facial plastic surgery, as treatment has to be carefully tailored for each patient; nowadays the concept of preservation rhinoplasty is particularly sought-after, allowing to conserve cartilage bone structure, and avoiding secondary surgery with costal grafts. Thought for the young surgeon in training, this richly illustrated clinical cases atlas in rhinoplasty offers all needed tools to correctly classify the malformation and choose the best reproducible treatment. Chapters clearly illustrate the principal approach with closed technique, to which specific parts on transcolumellar approaches are added, beginning with the simpler cases and progressing stepwise to more complex cases. Each part is supported by the addition of high quality illustrations and surgical videos to foster the reader’s understanding and preparation of practical steps and best choices, offering direct support in the operating room. The chapters move from the clinical examination, to photography, topography and deformation measurement (TDM) in 3D, computer simulations and the building of a dedicated preoperative check list to endure a careful patient approach and secure the best outcomes for the most frequent rhinoplasty cases. Plastic surgeons in training and ENT doctors alike will find this Clinical Atlas of Primary Rhinoplasty to be a handy guide to resort to, when wanting to improve their daily practice.