Minimally Invasive Approach for Rhinoplasty

The nose, the most prominent aesthetic feature in the facial profile, is a three-dimensional, intricate trapezoid solid, encompassing the external bony and cartilaginous vault with an overlying skin cover and internal cavities. Through their intricate structural interdependency, these topographic features contribute both to form and function. Given its central location in the midface, the nose interrelates with the adjacent structures through juxtaposition, ultimately giving rise to the overall size, shape, and aesthetics of the nose. Ideal facial and nasal forms have been depicted from ancient Egyptian hieroglyphics to the Renaissance era. These cannons dictated what is most desirable and possibly achievable. Correction of aesthetic nasal deformities date back to India in 600 BC by Sushruta Samhita. Since then, there has been a long evolution of techniques. Different surgical approaches have been advocated, each with its inherent advantages and liabilities. Optimal rhinosculpturing outcomes are not achieved merely as a consequence of the access route but rather rely on a precise execution of a technique that addresses the deformity. Science and art are inseparable in rhinoplasty. Gratifying results performed by surgical intervention or minimally invasive procedures require systematic analysis of the anatomic variables, adherence to structured strategy, artistic perception, and precise manipulation. It is a well known tenet to all surgical endeavors that a sound knowledge of anatomy is requisite and the reader is advised to refer to a comprehensive review of Surgical anatomy of the nose, by O'Neal, et al. 1996 (1).