Advanced Caucasian and Mediterranean Rhinoplasty

P.J.F.M Lohuis,

Advanced Caucasian and Mediterranean Rhinoplasty
PrefaceIn line with Darwin's theory of evolution from 1859, three ingredients have determined the evolution in rhinoplasty during the last century: variation, reproduction and pressure. On the shoulders of giants, a variety of philosophies and rhinoplasty techniques were consistently developed and modified. These techniques were reproduced by text books and journals as well as during conferences, working visits, and fellowship programs. Pressure, the result of both the drive of the surgeon and the high demands of patients seeking rhinoplasty, has subsequently increased the level of rhinoplastic surgery in our specialty dramatically, and over a broad range of colleagues. In our common efforts to achieve consistently good and reliable results, this book - for what it is worth - is my contribution to this rhinoplasty evolution.The book follows the Chinese adage according to which 'a picture is worth a thousand words'. The last decennium I developed the habit to take my camera into the operating room, thus creating the basis for the many full-color peroperative open-structure rhinoplasty photographs. The text is divided in small chapters that were written in pearl form and joined up in a string-like manner. Numerous comprehensible schematic drawings help to elucidate the text and most of them were made by a professional illustrator, Karin Spijker.Another key feature of this rhinoplasty book is the fact that it is written by one surgeon. This avoided overlap and gave me the opportunity to display 'my way' of performing rhinoplasty from the first consultation to the last postoperative visit. Of course 'my way' of rhinoplasty is nothing more than the result of a slowly progressing process stacking techniques that were invented, modified and described by so many great rhinoplasty surgeons in the past.I have strived to keep the content of this book simple and easy to read. Although the list of methods and techniques described might not be complete, I believe that the vision displayed will allow for 90% of all encountered Caucasian and Mediterranean rhinoplasty cases to be completed in an adequate manner. Reproducing my vision with the help of this book will hopefully enable young surgeons to develop a platform from where to accelerate their rhinoplasty skills into the third wave of their personal learning curve: the wave of consistently good results (see 1.6).The book ends with a chapter on nasal reconstruction techniques for skin cancer defects. The incidence of nasal skin cancer will rise in the next decennium, and also the rhinoplastic surgeon should become familiar with these techniques. In addition, the knowledge gained in this specific area will serve as yet another learning curve accelerator for the regular rhinoplasty cases.Peter J.F.M. Lohuis, MD PhD

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