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/