Rod J. Rohrich and Jon Kurkjian Abstract The columellar strut is a key rhinoplasty maneuver to unify the nasal tip and maintain tip position. This chapter will give a detailed…

Rod J. Rohrich and Paul D. Durand Abstract The spreader (or autospreader) flap offers an alternative to the traditional spreader graft in reconstructing the dorsal midvault and preserving internal valve…

C. Spencer Cochran and Paul N. Afrooz Abstract The aesthetic uses of spreader grafts include straightening or strengthening a dorsally deviated septum, preventing or correcting a narrow midvault, and establishing…

Aaron M. Kosins Abstract Preservation rhinoplasty (PR) is a new chapter in rhinoplasty history. The term was first coined by Daniel in 2018, and represents a fundamental change in philosophy….

Shahryar Tork and Ashkan Ghavami Abstract Success in ethnic rhinoplasty can be achieved through accurate preoperative analysis, recognition of the common and variable features within each ethnic group, and precise…

Christina R. Vargas and Bahman Guyuron Abstract The approach to the crooked nose is determined by thoughtful analysis of the face in its entirety, including all of the components of…

Rod J. Rohrich, Ira L. Savetsky, and Paul D. Durand Abstract The approach to the nasal tip requires a combination of techniques that will improve tip shape and establish proper…

Rod J. Rohrich and Yash J. Avashia Abstract The bulbous and boxy tips are two common morphologies encountered in rhinoplasty. The management algorithms for both tips share various techniques. These…

Mark G. Albert Abstract Closed rhinoplasty, or endonasal rhinoplasty, was the first approach used to surgically modify the nose in the 19th century. Since the open approach gained popularity in…

Rod J. Rohrich, Erez Dayan, and Kristy L. Hamilton Abstract Rhinoplasty remains a technically and conceptually challenging procedure for plastic surgeons. Over the past 25 years, nasal analysis and strategies…