The Ten Commandments of Ethnic Rhinoplasty

Abstract

Because a basic, well-organized surgical plan is important whether one is dealing with a simple or a very complicated rhinoplasty, I have established and always try to follow these Ten Commandments of Ethnic Rhinoplasty:

• I. Carefully evaluate the individual’s anatomy, physiology, and psychology.

• II. Establish realistic goals for the patient and for yourself

• III. Prepare a detailed preoperative evaluation and surgical plan.

• IV. Consider the use of preoperative “BASICS” (Benadryl, Antibiotics, Steroids, Ice, Compression, and Standard Surgical Preparations).

• V. Mix your own fresh local anesthetic with epinephrine.

• VI. Maintain nasal airway function.

• VII. Use only autologous grafts whenever possible.

• VIII. Control swelling and bleeding intraoperatively with “ICE” (Ice, Compression, and Elevation).

• IX. Prepare a postoperative care plan such as “DAMP” (Dietary and Activity restrictions, Medication, and Pressure).

• X. Perform revision procedures only when truly warranted.