PDF icon Download PDF
Facial Plast Surg 2025; 41(03): 327-333
DOI: 10.1055/a-2318-1121
Original Research

Precision Rhinoplasty Cylindric Burrs—Sidewall Aesthetics

Emre Ilhan 
1   Facial Plastic Surgery, Private Practice, Istanbul, Türkiye
,
Diego Arancibia-Tagle
2   Facial Plastic Surgery, Private Practice, Mallorca, Spain
,
Hüseyin Özay
1   Facial Plastic Surgery, Private Practice, Istanbul, Türkiye
,
José Carlos Neves
3   Facial Plastic Surgery, Private Practice, MyFace Clinic, Lisbon, Portugal
› Author Affiliations
› Further Information
Also available atMedOne
   Permissions and Reprints
Preview

Corrected by:

Corrigendum: Precision Rhinoplasty Cylindric Burrs—Sidewall AestheticsFacial Plast Surg 2025; 41(03): e1-e1
DOI: 10.1055/s-0044-1787968

Abstract

The development of power instruments has led to great advances in rhinoplasty. It has helped to reduce operating time, minimize damage to the surrounding soft tissues, and allow precision bony modification compared with the use of manual rasps. Burrs help ensure precise results by (i) creating a smooth transition between the lateral nasal sidewall and the face, (ii) treating bony asymmetries, and (iii) producing homogeneous upper and middle thirds that softy translate into the upper lateral cartilages. The aim of this paper is to show applications of cylindrical burrs in rhinoplasty surgery to treat the dorsal upper and middle thirds as well as lateral sidewalls of the nose, regardless of whether the dorsal preservation or structure technique is used. This approach offers a safe, fast, and precise technique that can be used in conjunction with piezo osteotomy to obtain the optimal outcomes.

Keywords

precision rhinoplasty - power instruments - cylindric burrs - preservation precision rhinoplasty - dorsal aesthetic lines


Publication History

Accepted Manuscript online:
02 May 2024

Article published online:
05 June 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Deschamps-Braly J. Feminization of the chin: genioplasty using osteotomies. Facial Plast Surg Clin North Am 2019; 27 (02) 243-250
    Search in Google Scholar
  • 2 Mu X. Experience in East Asian facial recontouring: reduction malarplasty and mandibular reshaping. Arch Facial Plast Surg 2010; 12 (04) 222-229
    Search in Google Scholar
  • 3 Sahin C, Turker M. Application of drill in otoplasty: a technical modification. J Craniofac Surg 2015; 26 (03) 816-819
    Search in Google Scholar
  • 4 Joseph J. Nasenplastik und sonstige gesichtsplastik nebsteinem anhang über mammaplastik. 1931 https://www.rarebook.com/pages/books/90186/j-joseph-jacques/nasenplastik-und-sonstige-gesichtsplastik-nebst-einem-anhang-uber
    Search in Google Scholar
  • 5 Toriumi DM, Hecht DA. Skeletal modifications in rhinoplasty. Facial Plast Surg Clin North Am 2000; 8: 413-431
    Search in Google Scholar
  • 6 Gerbault O, Daniel RK, Kosins AM. The role of piezoelectric instrumentation in rhinoplasty surgery. Aesthet Surg J 2016; 36 (01) 21-34
    Search in Google Scholar
  • 7 Ozucer B, Özturan O. Current updates in nasal bone reshaping. Curr Opin Otolaryngol Head Neck Surg 2016; 24 (04) 309-315
    Search in Google Scholar
  • 8 Becker DG, Toriumi DM, Gross CW, Tardy Jr ME. Powered instrumentation for dorsal reduction. Facial Plast Surg 1997; 13 (04) 291-297
    Search in Google Scholar
  • 9 Davis RE, Raval J. Powered instrumentation for nasal bone reduction: advantages and indications. Arch Facial Plast Surg 2003; 5 (05) 384-391
    Search in Google Scholar
  • 10 Davis RE, Foulad AI. Treating the deviated or wide nasal dorsum. Facial Plast Surg 2017; 33 (02) 139-156
    Search in Google Scholar
  • 11 Robiony M, Toro C, Costa F, Sembronio S, Polini F, Politi M. Piezosurgery: a new method for osteotomies in rhinoplasty. J Craniofac Surg 2007; 18 (05) 1098-1100
    Search in Google Scholar
  • 12 Daniel RK. Mastering Rhinoplasty. 2nd ed.. Berlin: Springer-Verlag; 2010
    Search in Google Scholar
  • 13 Kosins AM, Daniel RK, Nguyen DP. Rhinoplasty: the asymmetric crooked nose-an overview. Facial Plast Surg 2016; 32 (04) 361-373
    Search in Google Scholar
  • 14 Rohrich RJ, Villanueva NL, Small KH, Pezeshk RA. Implications of facial asymmetry in rhinoplasty. Plast Reconstr Surg 2017; 140 (03) 510-516
    Search in Google Scholar
  • 15 Chatrath P, De Cordova J, Nouraei SA, Ahmed J, Saleh HA. Objective assessment of facial asymmetry in rhinoplasty patients. Arch Facial Plast Surg 2007; 9 (03) 184-187
    Search in Google Scholar
  • 16 Hafezi F, Naghibzadeh B, Nouhi A, Yavari P. Asymmetric facial growth and deviated nose: a new concept. Ann Plast Surg 2010; 64 (01) 47-51
    Search in Google Scholar
  • 17 Zholtikov V, Golovatinsky V, Palhazi P, Gerbault O, Daniel RK. Rhinoplasty: a sequential approach to managing the bony vault. Aesthet Surg J 2020; 40 (05) 479-492
    Search in Google Scholar
  • 18 Palhazi P, Daniel RK, Kosins AM. The osseocartilaginous vault of the nose: anatomy and surgical observations. Aesthet Surg J 2015; 35 (03) 242-251
    Search in Google Scholar
  • 19 Denecke HJ, Meyer R. Plastic Surgery of Head and Neck, Volume I: Corrective and Reconstructive Rhinoplasty. Berlin, Germany: Springer-Verlag GmbH; 1967
    Search in Google Scholar
  • 20 Robotti E. Shaping the nasal dorsum. HNO 2018; 66 (02) 92-102
    Search in Google Scholar
  • 21 Pribitkin E, Greywoode JD. Sonic rhinoplasty: innovative applications. Facial Plast Surg 2013; 29 (02) 127-132
    Search in Google Scholar
  • 22 Gruber RP, Melkun ET, Woodward JF, Perkins SW. Dorsal reduction and spreader flaps. Aesthet Surg J 2011; 31 (04) 456-464
    Search in Google Scholar