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Key Points in Subperichondrial-Subperiosteal Dissection.
Bülent Genç1, Ali Murat Akkuş2, Barış Çakır3
1Caddebostan Mah. Çam Fıstığı Sk No:1 A Blok D:3 Kadıköy, Istanbul.
Facial Plastic Surgery Clinics of North America
|November 22, 2020
Summary
The subperichondrial-subperiosteal dissection technique (SSDT) minimizes soft tissue injury during rhinoplasty. Mastering SSDT dissection ensures cartilage protection and wider surgeon adoption for improved outcomes.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Anatomy
Background:
- Soft tissue injury is a concern in rhinoplasty.
- Dissecting nasal tip cartilage perichondrium can be challenging.
- Improper dissection can harm cartilage.
Purpose of the Study:
- To highlight the benefits of the subperichondrial-subperiosteal dissection technique (SSDT).
- To emphasize the importance of correct dissection for cartilage preservation.
- To encourage wider adoption of SSDT in rhinoplasty.
Main Methods:
- The subperichondrial-subperiosteal dissection technique (SSDT) was utilized.
- Surgeons performed over 4000 rhinoplasties using SSDT between 2008-2019.
- Focus on key dissection points and instrumentation.
Main Results:
- SSDT significantly minimizes soft tissue injury.
- Proper technique protects delicate nasal tip cartilages.
- Successful application in a large cohort of over 4000 cases.
Conclusions:
- SSDT is an effective method for reducing surgical trauma in rhinoplasty.
- Understanding and applying key dissection principles is crucial for cartilage safety.
- Increased surgeon proficiency with SSDT is expected to grow.

