Nasal dorsal aesthetic lines and rhinoplasty technical tricks

Rhinoplasty surgery remains one of the most difficult operations of the face. Improving aesthetic appearance and maintaining nasal function are inseparable goals in rhinoplasty surgery, and failure to achieve either of these objectives can be devastating for the patient. After evaluating a variety of rhinoplasty complications, increased attention was devoted to the surgical technique for reconstruction of the dorsal aesthetic lines and nasal tip projection in the patient with a prominent dorsal hump. Based on the modern concept of cartilage conservation, the autospreader flap rotation technique should be considered when dorsal reduction is required. Autospreader flaps are a useful tool in the prevention of postoperative nasal obstruction, segmental (inverted V) appearance, midfacial axial asymmetry and an overdone supratip break. In addition, they assist in preserving ethnicity of the nose when desired. The patient with a long nose, prominent dorsal hump, short nasal bones and low lower lateral cartilages are considered to be an ideal candidate for an autospreader flap.