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designed to be read section by section in the order in which it is presented. I would then recommend a re-reading of the first section so that the tenets laid down in this area are more readily understood after having experienced the tech­ nical presentations. The serious student will then utilize the book as an atlas of techniques that can be conveniently referenced when needed in any particular situation. All surgeons should then use any new information as a beginning plat­ form of information from which to develop and refine their own experience, col­ lecting and analyzing their own personal library of techniques, as they advance though this most wonderful and satisfying Discipline. PHILOSOPHY/ P LAN NIN G/ART iil PHILOSOPHY OF SUCCESSFUL REVISION RHINOPLASTY CONFIDENCE The key element necessary to succeed in any endeavor is confidence. This is observed very obviously in sports like tennis and in technical skills like shooting. However, in surgery in general and in revision surgery more specifically, the ele­ ment of a confident surgeon is paramount to the successful completion of the operation. The confidence factor of a surgeon is, of course, determined by many things. Most surgeons are inherently confident. However, the supreme confi­ dence necessary to complete a difficult and challenging revision rhinoplasty must be meticulously acquired. Initially, confidence is gained with experience, supplemented by reading, direct observation, and studying videos.

Philosophy/Planning/Art.- Philosophy of Successful Revision Rhinoplasty.- Planning.- Differences Between Revision and Primary Rhinoplasty.- Aesthetics.- The Peri-Operative Setting.- Technique.- The Preservation and Restoration of Nasal Function.- Bony Nasal Vault.- Middle Nasal Vault.- Septum.- Columella.- Internal Nasal Valve Reconstruction.- Nasal Rotation.- Transition Zones.- Nasal Lip Complex.- Tip Introduction and Anatomy.- Tip Medialization.- Nasal and Tip Projection.- Total Tip Reconstruction.- Titanium Nasal Reconstruction.- Workshop.- Case Examples.

<p>The most up-to-date compendium of revisional rhinoplasty available</p><p>Includes several new techniques using titanium and bone cartilage (never before published)</p>

<P>With thousands of primary and secondary cases, Michael Evan Sachs has devoted his career to perfecting the art and science of rhinoplasty in general, and revision rhinoplasty in particular. Whether to improve form or function of a previous surgery – or just to ensure the best possible result the first time – this beautifully illustrated atlas has much to offer both experienced and beginning surgeons. This atlas illustrates not only how to repair problems, but also how to modify and refine basic surgical technique in order to minimize the incidence of failed procedures. It is the most up-to-date compendium of revisional rhinoplasty available, including several previously unpublished new techniques using titanium and bone cartilage. By mastering the techniques in this book, a primary revision can be performed intraoperatively during the first procedure, thereby obviating the need for a secondary revisional surgery.</P>

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