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The Alignment of the Nose in Rhinoplasty: Fix Down Concept.
1From private practice.
Plastic and Reconstructive Surgery
|January 28, 2020
Summary
The fix down concept improves rhinoplasty by aligning the nose in three dimensions for better symmetry. This technique and its adjuncts yielded satisfactory functional and aesthetic results in 102 patients.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
- Rhinoplasty Techniques
Background:
- Current rhinoplasty literature primarily focuses on the sagittal plane, neglecting the nose's 3D structure.
- Achieving nasal symmetry requires considering all three anatomical planes for optimal aesthetic outcomes.
Purpose of the Study:
- To introduce the "fix down" concept for rhinoplasty.
- To demonstrate the technique's ability to achieve 3D nasal alignment and improve symmetry.
Main Methods:
- A total of 102 patients (89 primary, 13 revision) underwent septorhinoplasty using the fix down concept.
- Nasal deformities were evaluated and classified in coronal, sagittal, and axial planes.
Main Results:
- The fix down concept, combined with various adjunct maneuvers, resulted in satisfactory functional and aesthetic outcomes.
- No revisions were required during the follow-up period, indicating the technique's efficacy.
Conclusions:
- The fix down concept provides a method for achieving three-dimensional symmetric noses.
- This approach enhances surgical results in rhinoplasty for improved patient satisfaction.
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