Rhinoplasty Strategy and Tactics Using the Rhinoplasty Compass

Instead of considering “steps” in a procedure, which must be blindly followed for various “indications,” this chapter presents an alternative structure to consider surgery. These “stages” of a procedure permit more thoughtfulness and flexibility by the surgeon to use judgment instead of memorization. The stages include approach, release, re-size, reposition, and reinforcement. The surgeon thus does not simply “check a box” at the completion of steps, but must achieve satisfactory achievement of the stages objective before advancing. Using the Rhinoplasty Compass™ of framework, surgical strategies to modify the basic variations on framework are described, using the stage concept.