Farouk, A. (2022). Critical Choices in Rhinoplasty: A 20-Year Single-Surgeon Retrospective Review of 1000 Cases. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), 283-296. doi: 10.21608/ejprs.2022.254746
Adham Farouk. "Critical Choices in Rhinoplasty: A 20-Year Single-Surgeon Retrospective Review of 1000 Cases". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 3, 2022, 283-296. doi: 10.21608/ejprs.2022.254746
Farouk, A. (2022). 'Critical Choices in Rhinoplasty: A 20-Year Single-Surgeon Retrospective Review of 1000 Cases', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), pp. 283-296. doi: 10.21608/ejprs.2022.254746
Farouk, A. Critical Choices in Rhinoplasty: A 20-Year Single-Surgeon Retrospective Review of 1000 Cases. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(3): 283-296. doi: 10.21608/ejprs.2022.254746
Critical Choices in Rhinoplasty: A 20-Year Single-Surgeon Retrospective Review of 1000 Cases
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University
Abstract
Objectives: Highlighting certain convictions, techniques and tactics that can be crucial to surgical outcome of rhinoplasty, as an attempt to define clearer indications for what's termed "aesthetic" rhinoplasty. Methods: A 20-year single-surgeon review of 1000+ diverse rhinoplasties. Results: Surgical outcome was satisfactory in 90-97% of post-traumatic rhinoplasties, and in 82-90% of aesthetic rhinoplasties. Complications were minimal. Differences of satisfactory results between post-traumatic and aesthetic cases were found to be statistically significant, and there was disparity in assessment of results between the author and the other surgeons' panel. Conclusions: Like fingerprints and iris pattern, each human being has a unique shape of nose, related to (and inseparable from) the other facial features, and any attempt to impose geometric dimensions or mathematical beauty measures in such case is like squaring the circle; simply impossible. Each nose has a limit for change, and successful rhinoplasty is not only in imagining this particular limit; let alone achieving it, but successful rhinoplasty is when our imagination meets the patient's expectations, which is not more than a mere probability. The dilemma in figuring out a suitable “new look” for the nose, whether it is driven by an exact science or by the passion of plastic surgeons, can blur the thin red line between a justifiable rhinoplasty and a medical malpractice. Therefore, the most critical choice in rhinoplasty is the decision to do a rhinoplasty in the first place. The nose is undoubtedly the most significant facial feature. It characterizes shape and shapes character of the human being. So rhinoplasty is a Psychosurgery and the worst pitfall in practice of rhinoplasty is failing to realize that success and failure will always have equal chances.
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