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Mark B. Constantian/Rhinoplasty: Craft and Magic,2Vols and 4DVD Massachusetts General Hospital Comprehensive Clinical Psychiatry

Mark B. Constantian/Rhinoplasty: Craft and Magic,2Vols and 4DVD
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Mark B. Constantian/Rhinoplasty: Craft and Magic,2Vols and 4DVD

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Rhinoplasty: Craft and Magic,By Mark B. Constantian, MD, 2Vols and 4 DVD, Publication Date Jun 2009

Volume I

 

PART I NASAL ANATOMY AND PHENOMENOLOGY

 

1. Static Anatomy and Its Impact on Aesthetics 3

 Toward Refinement 4

 Surface Planes and Light Reflexes 5

  Structural Layers of the Nose 9

   Effect of Dorsal Height on Nasal Length 10

  Anatomic Nasal Layers 12

  Bony and Upper Cartilaginous Vaults 15

  Alar Cartilages 29

  Nasal Base: Upper Lip Complex 45

 

2. Dynamic Anatomy and Structural Relationships 53

 Why Rhinoplasty 55

 The Dynamic Nose 56

 Two False Assumptions About the Reduction Model 56

 Nasal Equilibrium 63

 Specific Interrelationships 66

 Dynamism in Practice: Making Noses Longer or Shorter 92

 

3.  Involving the Right Brain in Rhinoplasty Diagnosis and Planning 107

 History of Right-Brain Theory and Its Application to Rhinoplasty 108

 Experiencing Right-Brain Shift 110

 Relating Right-Brain Observations to Rhinoplasty Strategy 118

 How the Left Brain Deceives 121

 

4. The Anatomy Of Function and How Rhinoplasty Affects the Airway 133

 The Importance of the Airway Component to Cosmetic Rhinoplasty 134

 Applied Anatomy: Fundamental of Airway Correction in Practice 158

 

5.  Four Critical Anatomic Variants and “ The Secret of Everything” 187

 Relevance of the problem 188

Frontal View: Determining the Airway 191

Lateral View: Determining a Balanced, Straight Profile 208

A Matched Pair of Problems 232

Relevance to Clinical Practice 244

 

Part II RHINOPLASTY AS AN OPERATION

 

6. Why Rhinoplasty Is Difficult 253

Rhinoplasty’s Hidden Anatomy 256

Why I Prefer Endonasal Rhinoplasty 265

Photography 268

 

7. Planning Rhinoplasty: Abstract Concepts and Aesthetics 279

Theoretical and Practical Aesthetics 280

The Reality of the Ideal in Facial Analysis 287

A Nose That Fits the Face 291

Practical Aesthetics and Parameters for Planning 292

Three Surface Parameters for Rhinoplasty Planning 300

 

8.  Planning Rhinoplasty: Applied Concepts and Aesthetics 317

The Consultation 318

Specific of the History 320

Details of the Interview 342

The Preoperative Examination 342

Cooperation and Rapport 347

Discussing and Agreeing on a Plan 348

Putting Yourself and the Patient on the Same Side 349

Helping the Patient on the Same Side 349

The Male Aesthetic 359

Explaining the Surgical Plan 366

Showing Your Result in Other Patients 380

Computer Imaging 380

Explaining the Risks to Patient and Family 381

Patient Attitude and Behavior 381

Revisions 383

Closing an Unsuccessful Consultation 388

 

9. Creating The Preoperative Plan 391

 A Template for Planning 392

Constructing a Formal Plan 414

The Preoperative Envelope 415

Part III CONCEPT AND TECHNIQUE IN PRIMARY

RHINOPLASTY

 

10.  How to Learn Rhinoplasty 421

Learning Surgical Judgment 422

How to Teach Yourself Rhinoplasty 424

 

11. Intraoperative Feedback and Technique in Primary

Rhinoplasty 463

Rhinoplasty as a Concept 464

The uniqueness of Rhinoplasty of Rhinoplasty as an

Operation 465

Specifics of the Operations 466

The Operation Iself 478

Incisions and Planning 478

Steps in the Operative Sequence 479

 

12. Adding Cartilage to the Nose: Why Grafts Are Necessary

567

The Logic of Grafting 568

Selecting and Harvesting Donor Sites in Primary

Cases 568

Prioritizing the Specimens 662

Constructing Specific Grafts in Primary Rhinoplasty

624

 

13. The Uncomplicated Postoperative Course 735

Value of the Postoperative Period to the Surgeon 736

Early Postoperative Instructions and Management 737

The First Postoperative Visit 737

Typical Postoperative Changes 738

Typical Early Postoperative Changes 744

 

14. Problems in the Postoperative Course 751

Iatrogenic Airway Obstruction 752

Skeletal Problems 758

Soft Tissue Problems 762

Graft Problems 772

Septal Perforation 804

Synechiae 807

Septal Collapse 808

Rhinitis 809

Circulatory Problems 810

Hemorrhage 815

Infection 816

Less Common Complications 819

Unhappy Patients 821

 

 

VOLUME II

 

PART IV PRIMARY RHINOPLASTY

 

15. Common Problems in Anatomy and Proportion 827

Introduction the Icons 828

Dorsal deformities 828

Middle Vault Problems 877

Tip Problems 892

Problems of Length and Balance 927

Problems of Volume 936

 

16. Exceptions to the Usual 951

The Traumatized Nose 952

Rhinoplasty in Men 974

Ethnic Rhinoplasty 991

Older patients 1035

Think Skin 1052

Thick Skin 1059

Rhinoplasty 1067

 

PART V SECONDARY RHINOPLASTY

 

17. Theory, Planning, and Technique 1087

Phenomenology and Diagnosis in Secondary Rhinoplasty

1088

Secondary Rhinoplasty Compared With Primary

Rhinoplasty 1096

Applicable Techniques 1102

Donor Site Depletion 1185

 

18. Regional Deformities 1189

Dorsal Deformities 1191

Middle Vault Problems

Nasal Base Problems 1220

 

19. Generalized Deformities 1237

Supratip 1239

Thick skin and Thin Skin 1260

Septal Collapse 1270

Problems of Length and Balance 1292

Reconstruction in Patients Whit Prostheses 1304

Cleft Lip Nasal Deformity 1316

Deformities Resulting From Previous Open Rhinoplasty

1338

Complex Deformities 1364

 

20. Unhappy Patients and Those With Body Dysmorphic

Disorder 1401

The Problem for Surgeons 1403

The Link to Relation Trauma 1427

Trauma, Core Issues, Addictions, and Relational

Problems 1427

Relational Addiction 1428

The Physician Component 1429

And So the Play Begins 1430

Evidence from a Patient’s Story 1435

Narcissism in the Classical Sense: A Factor in Body

Dysmorphic Disorder 1442

The Incidence of Body Dysmorphic Disorder in Private

Practice 1444

A Survey of 1000 Consecutive Rhinoplasty Patients 1446

Putting It All Together 1447

Who, Then, Are the Surgical Candidates? 1448

 

DVD CONTENTS

Volume I

 

DVD 1 Primary Rhinoplasty With Lateral Crural Relocation

DVD 2 Rib Harvesting and Perichondrial/Cartilage Strip

Rib Graft Harvesting, Perichondrial/Cartilage Strip, and

Laminate

 

Volume II

 

DVD 3 Secondary Rhinoplasty with Composite Grafts and Maxillary

DVD 4 Secondary Rhinoplasty with Ear Cartilage

 

 

 

 

 


 

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