Facial Plast Surg 2021; 37(01): 022-028
DOI: 10.1055/s-0041-1725102
Original Article

Conservative Surgery of the Nasal Dorsum: Septal Pyramidal Adjustment and Repositioning

Wilson Dewes
1  Department of Facial Plastic Surgery, FUNDEF and Clinica Wilson Dewes, Lajeado, Rio Grande do Sul, Brazil
2  Department of Facial Plastic Surgery, Clinica Pró-Vida, Tubarão, Santa Catarina, Brazil
Mario B.J. Ferraz
3  Department of Facial Plastic Surgery, IBCFPRS, Clinica Mario Ferraz, Campinas, Sao Paulo, Brazil
José Carlos Neves
4  Department of Facial Plastic Surgery, IBCFPRS/EBCFPRS, MYFACE Clinic, Lisboa, Portugal
› Institutsangaben


The term SPAR (septum pyramidal adjustment and repositioning), aims to conserve the nasal dorsum without detachment of the upper lateral nasal cartilage of the nasal septum, based on the Cotte's principles, unlike classical rhinoplasty. The aim of the study is to describe surgical technique of SPAR with the surgical steps used to reviewing the literature on the surgical treatment of the nasal dorsum. This is a less invasive form of rhinoplasty, but no less effective, not being necessary additional techniques to nasal reconstruction, and preservation of essential nasal structures. It is an evolution of push down and the other conservative surgery, making a more modern technique and may be suitable for most types of cavities. More studies are needed, especially comparative, showing the following late sequelae, complications, and their long-term results.


11. März 2021 (online)

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