■ Open Preservation Rhinoplasty: anatomy, plane of dissection, ligaments and the Tetris Concept: When and How
LEVEL
A – Introductory
CONTENTS
- Sub areolar (Supra perichondral dissection)
- Tip support soft tissues and management
- Preserving the nasal dorsum
- Let down technique
- The Tetris concept
OBJECTIVES
During recent years, and for more than a decade, I have been dedicated to achieving
stable, accurate, and predictable results in preservation rhinoplasty, inspired by a modification of the
Cottle operation (the septum and pyramid adjustment and reposition concept). The Tetris concept (a strategy for the septal wall) performed on indicated noses, is a technique that consistently achieves these goals. The lateral wall is routinelly controlled with a Let-Down technique and a Lateral Split maneuver. It is my belief that the more tools we have
available, the better decision the surgeon is able to make, and the more accurate the choice of the technique will be in each individual case. Whenever possible, I would rather use preservation rhinoplasty.
Achieving a natural and nonviolated dorsum in the proper position with the right shape is definitely the aim of any surgeon, and by performing the dorsal preservation techniques, we are definitely closer to this goal