Mohsen Naraghi
Tehran University, Iran
Title: Pearls and pitfalls in the Middle Eastern aesthetic rhinoplasty
Biography
Biography: Mohsen Naraghi
Abstract
The objectives of the present study are to: 1) Know the anatomic characteristics of the Middle Eastern noses, 2) Identify risk factors and pitfalls in Middle Eastern rhinoplasty, and 3) Select the best technique for each type of Middle Eastern nose. There are many factors in the nose structure that make Middle Eastern rhinoplasty as a difficult rhinoplasty procedure. Heavy, thick skin and weak cartilage support are the important parameters in the noses of this region of the world. These factors make noses to show characteristics including: Wide and large nose, long nose, drooping nose, acute nose-lip angle, deep nasal root angle and prominent arching nose. This is very important for surgeons to avoid making unnatural looks and negative influences of the operated appearance of the nose on other parts of the face. The principle of structural augmentation and making support, especially in the base of the nose is of great importance to avoid complications in the Middle Eastern noses. Indeed most patients with Middle East noses have deficiency in structural support. By the exact evaluation and facial analysis, it will be revealed that many humps are not totally excessive, and some part of the hump is evident because of the deficiency in the root and base of the nose. The false effect of inadequate projection of the nasal base is a common cause of surgical mistakes in the Middle East noses. It could be prevented by starting the correction of the nose from the base and continuing to the upper parts of the nose. In this presentation, several other important mistakes in surgery of the Middle Eastern noses will be addressed, including caudal septum, upper lateral cartilage and alar base.