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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
The Ballerina Maneuver: A Lateral Keystone Release Technique in Preservation Rhinoplasty
Abdulkadir Goksel1, Goknil Gultekin2, Yves Saban3
1rino istanbul, ent, Turkey, Istanbul.
Facial Plastic Surgery : FPS
|July 20, 2026
Summary
The Ballerina maneuver refines dorsal concavity in preservation rhinoplasty. This technique enhances dorsal aesthetics while preserving the nose
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Preservation rhinoplasty focuses on maintaining nasal dorsal aesthetic lines and structural integrity.
- Achieving refined dorsal concavity can be challenging, especially in patients with low to moderate humps.
- Existing techniques may struggle to create elegant dorsal profiles while preserving the native nasal dorsum.
Purpose of the Study:
- To describe the novel Ballerina maneuver for enhancing dorsal concavity.
- To illustrate the maneuver's application in preservation rhinoplasty.
- To evaluate its role in achieving harmonious dorsal aesthetics and stability.
Main Methods:
- Technical description of the Ballerina maneuver as an adjunctive step in preservation rhinoplasty.
- Focus on controlled modification of middle vault structures while preserving the native dorsum.
- Presentation of clinical cases demonstrating the maneuver's application and outcomes.
Main Results:
- The Ballerina maneuver allows controlled enhancement of dorsal concavity.
- The technique maintains dorsal stability and structural integrity of the native framework.
- Clinical cases illustrate successful refinement of dorsal contour and aesthetic harmony.
Conclusions:
- The Ballerina maneuver is a reproducible technique for refining dorsal contour in preservation rhinoplasty.
- It enables precise dorsal aesthetic refinement while upholding the principles of structural preservation.
- This maneuver expands surgical options for achieving natural and elegant dorsal profiles.
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