Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah.

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SYNPOSIS

First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty.

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TIMESTAMPS

00:00 - Introduction
03:28 - Fundamentals of Rhinoplasty
04:19 - Interviewing Patients & Identifying Red Flags
10:25 - Physical Exam for Rhinoplasty
15:14 - The Importance of Photo Documentation
30:26 - Cephalic Trim & Turnover Flap Techniques
32:52 - Tip Supporting Grafts and Cartilage Harvesting
36:46 - Instruments for Rhinoplasty
39:42 - Sourcing Cartilage in Revision Rhinoplasty
49:20 - Post-operative Care & Complications
56:07 - Future Directions in Rhinoplasty

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RESOURCES

Patrick Cleveland Facial Plastic Surgery:
https://www.drpatrickcleveland.com/

Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/

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