Abstract
Aims and Backgrounds
Destigmatizing reduction rhinoplasty in a structural preservation era.
Historical Aspects
Transition from the classic Joseph rhinoplasty to modern emphasis on structural preservation
has imparted negative connotations to the term reduction.
Anatomy
Anatomic features that predispose patients to functional compromise must be recognized
and addressed in all approaches to ensure successful surgical outcomes.
Technology
Piezo ultrasonic instruments provide a safe and precise way to reduce the bony framework
and can be applied to all styles of rhinoplasty.
Patient Selection
Patients with no concomitant functional issues, reasonable and conservative cosmetic
expectations, and strong cartilage framework, who are managed by a thoughtful surgeon
can expect excellent results regardless of the approach.
Techniques
Reduction rhinoplasty techniques are some of the most enduring in rhinoplasty and
safe limits are described.
Postoperative Care
Patients should be followed for functional and/or quality of life performance.
Current and Future Development
Precision recommendations regarding thresholds for resection and grafting, as well
as standardized preoperative evaluation methods are required.
Conclusion and Clinical Relevance
Rhinoplasty techniques exist in a continuum as do features of the nose. A one-style-fits-all
approach is not appropriate and leads to avoidable postoperative failures and revision
surgery. Reduction rhinoplasty may not be the “buzz” but it still has a place in contemporary
conservative cosmetic surgery.
Keywords
reduction rhinoplasty - cosmetic rhinoplasty - re-branding
