New Book

Springer have undertaken the publication of Paul O'Keeffe's 156 page book, Closed Rhinoplasty - The Next Generation, that describes in detail the steps in planning and executing a closed rhinoplasty. There are 11 chapters: 1 Introduction, 2 Research, 3 Problems and Misconceptions, 4 Anatomy of the Prominent Nose, 5 Patient Desires, 6 New Strategy, 7 Consultation, 8 Planning Session, 9 Instrumentation, 10 The Operation, 11 Post-operation Results.

This is the cover of the book:

The original closed rhinoplasty procedure had many issues such as "Poly Beak" deformity and an unstable tip. Open rhinoplasty had less of these problems and it was easier to teach so it became the new standard. However, it too has issues of its own due to total release of the nasal skin from the skeleton. This limits the amount of skeletal reduction and it is often necessary to add anatomically abnormal cartilage grafts such as columella struts to push the nose tip into the skin.

The Next Generation Closed Rhinoplasty addresses these issues. Results are more stable and greater nasal reductions are possible because skin control is maintained. Results are accurate because the changes are measured and controlled with a template. We can call this operation "Template Rhinoplasty".

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