Clinical Progress and Postoperative Recovery of Rhinoplasty

Dear Colleagues,

“Clinical Progress and Postoperative Recovery of Rhinoplasty” is a very current and fascinating topic. Many recent advances have been game-changing in rhinoplasty procedures, enabling us to reduce common problems, expand the indications, and strive for perfection in long-lasting results. The term "progress" in this context of surgical rhinoplasty procedures typically refers to techniques, technologies, or approaches that go beyond the standard or traditional methods. It implies that the surgeon is introducing cutting-edge or innovative methods to achieve more natural, precise, and refined results. In this Special Issue, world-renowned authors introduce not only how the new technologies have impacted their practice and the postoperative period, but also how education has benefitted from the game-changing new communication systems, and how patients’ information has dramatically changed over these last years. The aim of this Special Issue of Life will be to share these recent critical advances with readers interested in the field of rhinoplasty.

Among all the progress we have observed in the last few decades, teaching new advances to residents and to surgeons has dramatically and positively changed: video endoscopy, scientific webinars, videos of surgical procedures, and multiple specialized meetings allow for showing and explaining procedures.  Much progress is derived from better knowledge of surgical anatomy and in-depth understanding of nasal structures biomechanics. Following recent advances in spreading preservation rhinoplasty philosophy, a revolution took place in the concept of modifying the nose without destroying its structures. Moreover, the most famous rhinoplasty surgeons discovered these new procedures and contributed immensely to their technical development and improvement.

Planning rhinoplasty has drawn immense advantages from advanced imaging and simulation software such as 3D CT scan and/or cone beam CT to analyze the patient's nasal anatomy accurately, which are commonly used nowadays. Surgeons use these tools to plan the surgery meticulously and predict the potential outcomes according to specific and customized surgical procedures, taking into account each patient's unique nasal anatomy. Limited incisions and undermining allow reducing visible scarring and potentially shorten the recovery period.

Sharing information wit patients has changed dramatically from the “middle-age” basic photographic system. Preoperative computer simulations on patient’s pictures allow the surgeon to share, sometimes in 3D, the changes that might occur and discuss with the patient the procedures that can be performed.  Surgeons assess the patient's specific nasal characteristics and consider how interventions might affect the overall balance and harmony of their face. Moreover, social media is used to spread patients’ information by showing surgical techniques, and internet forums are available where many patients nowadays share their experience, not only with each other but also with further candidates for rhinoplasties.

Regarding surgical techniques, many new procedures and new tools have dramatically changed rhinoplasty approaches, not only in primary procedures, but also in revisions.  Piezo-electric instruments allowing for rhinosculpture and cartilage chondroplasty have changed the quality of the outcome. Structure rhinoplasty procedures have brought immense improvements in the quality of nasal reconstruction when the anatomy of the nose has been modified so much that no more natural structure is available. New approaches are spreading nowadays since the introduction of fillers in the medical options paradigm to improve nasal reshaping in non-operated patients or in secondary cases. However, an important debate is currently dividing surgeons and cosmetologists regarding the benefit–risk ratio of the different procedures.

Managing the postoperative period is still a challenge, as the healing process is not only related to the medical or surgical procedures, but also the patient’s specific ability to heal properly, their personal behavior and their ability to attend the mandatory postoperative visits. Recent works on the intraoperative use of the patient’s blood cells and postoperative anti-inflammatory diet have shown effectiveness. Better knowledge in perioperative skin care is very important for the way the soft tissues will heal after the surgery.

This Special Issue of Life “Clinical Progress and Postoperative Recovery of Rhinoplasty” represents a fantastic opportunity for the reader to discover important information given by world-renowned experts about all these recent game-changing processes that have occurred in the field of rhinoplasty.

Dr. Yves Saban
Guest Editor

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• rhinoplasty
• ENT
• surgery
• postperative recovery