Open structure rhinoplasty a manual of surgical skills training 9 reducing them it is best to do the minimum necessary for that individual reducing or adding tissue only where indicated given that the exposure is good it is important for the surgeon to resist the temptation to do more. Cpt 30400 30410 30420 30465 rhinoplasty procedures cpt code description rhinoplasty 30400 rhinoplasty primary lateral and alar cartilages and or elevation of nasal tip 30410 rhinoplasty primary complete external parts including bony pyramid lateral and alar cartilages and or elevation of nasal tip. Open tip rhinoplasty also known as external approach or open structure rhinoplasty has gained much popularity in the past three decades among rhinoplasty surgeons due to some main features of this technique such as direct visualization of the anatomy and precise diagnosis of the deformities bimanual control of the structures and possibility . The evolution of open structure rhinoplasty has been based on the triple tenets of softer contour increased structural support and lack of tip tensions thus open structure rhinoplasty techniques have evolved to a greater focus on domal suturing techniques softer contouring of tip grafts and additional structural grafting techniques . Rhinoplasty is commonly acknowledged as the most demanding and difficult of plastic surgical procedures the demands of rhinoplasty in the aging patient are no different regardless of patient age the principles of structure rhinoplasty remain constant surgical manipulation of the nasal construct causes weaknesses susceptible to scar contracture
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