Salvador Rodriguez
University Hospital Casa de Salud, Spain
Posters & Accepted Abstracts: Surgery Curr Res
We present in this work a new technique which begins in 1987, 31-year experience till now. It was an impulse. Because of my reflexive character and perfectionism, it seemed contradictory and, yet, I sensed that this nasal tip, so badly arranged and antiaesthetic after 3 operations, would only withstand a fourth operation which guaranteed certain success. So I thought that submitting the patient reconstruction of the structure was not the best solution. Amputating and reconstructing seemed more complex and bloody than amputating and covering with some soft tissue. I chose temporal fascia as it is soft and not very extensible, and would provide the new tip more solidity. It came to my mind in a flash and I acted with all the consequences to help my patient. I did a follow-up and, years later, the result remained stable. However, as all the plastic surgery masters treaties and publications warn us about the importance of conserving an alar cartilage band of no less than 3-5 mm on its caudal edge to avoid collapses, I thought that this process could wait before being repeated. So gradually, I started performing more cases, and I saw that the result was no chance happening. I extended the indications and ventured with particularly difficult primary Rhinoplasty cases involving extremely domed, flat and wide tips. The years went by and I continued improving and perfecting this process, which went against what, was ???technically correct???. Finally, we have classified our patients into 5 groups of cases which we name as Type I, Type II, Type III, Type IV and Type V, depending on the resection-reconstruction process.
E-mail: cirugia-plastica@rodriguez-camps.com
