Redução da base nasal na rinoplastia: inovação da técnica de sequência cirúrgica

Abstract

Nasal base reduction is not a routine step in rhinoplasty. It is feared by some surgeons, perhaps because of its controversial and sometimes controversial aspects in literature. Objectives: To demonstrate the surgical sequence in reducing nasal alar base in rhinoplasty in an objective and systematic way to achieve aesthetic, functional, long-lasting results and with reproducibility in the training of beginner surgeons. To evaluate by means of measures, the reliability of the technique to reduce the nasal base in relation to the fifth facials established in a clear, readable and effective way. Casuistic and Method: A prospective study. Ten patients of both sexes, aged between 20 and 57 years, underwent Rhinoplasty with to reduce nasal base under local anesthesia and sedation at the Jurado Institute of Education and Research / São Paulo. The measurements of the nasal base were performed with the digital caliper by a single surgeon and compared to the measurement of the largest eye of each patient in the preoperative and postoperative period up to the third month. These measurements are related to the fifth facials. To complement the study, a patient satisfaction questionnaire was performed in the preoperative and postoperative periods. Results: Measurements of the nasal base compared to the largest eye showed a statistically significant reduction in the immediate postoperative period up to the third postoperative month. Conclusion: Nasal base reduction is a challenging step in Rhinoplasty, and it aims to achieve a natural, functional and anatomical aspect of the nose. When outlining the fifth facials, this maneuver provides balance, harmony and symmetry to the face, so it should always be the last step following the exact measurements made during Rhinoplasty