Revolutionizing Rhinoplasty: Endoscopic Technique by Dr. Medawar

Dr Charbel Medawar Explains His New Endoscopic Rhinoplasty Technique in Lebanon

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The advanced endoscopic guided septo-rhinoplasty technique offers all the perks of the open approach rhinoplasty while retaining none of its drawbacks.

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Over the past two decades, the numbers of rhinoplasties have increased significantly, and plastic surgeons, all over the world, have attempted to create new techniques that improve outcomes on the short and long term. While much has been written about the different rhinoplasty approaches (open vs. closed), neither option has proven to be the ultimate choice for all facial plastic surgeons worldwide. Nevertheless, we can notice in the medical field a trend towards less invasive procedures, that lead to a shorter recovery time and overall reduced morbidity. For example, cholecystectomies were performed through a large abdominal incision and required a long stay at the hospital for recovery. Nowadays, with the advances in laparoscopic surgery, it can be considered a one-day surgery. Following this trend, the patients nowadays expect minimally invasive procedures with effective and immediate results

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Unquestionably, the open approach comes with a lot of perks, considering the enhanced exposure of the operative field that it offers and the easier accessibility for the surgeon. However, these advantages come at a cost. The main disadvantage carried, is a tendency toward initial destabilization of several structural supports that will later inevitable reconstruction using sutures and grafts.

Furthermore, a large wound on the columella can present with scarring complications, tip paresthesia and noticeably increased tip edema, that may be permanent due to the severed lymphatic drainage caused by the initial incision.

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As the shifting of approaches is taking course, and the endonasal approach is witnessing a renaissance era, the authors of this article decided to enhance and perfect their own surgical variant. The advanced endoscopic guided septo-rhinoplasty technique is the fruition of decades of experience that have been accumulated over two generations of surgical experts at our tertiary referral center.

In an era where perfection and minimal invasiveness are being increasingly sought after in the field of facial plastic surgery, the Video assisted Endoscopic Septo-rhinoplasty technique offers the best of both worlds. The outstanding results that it delivers combined with the vast teaching exposure it offers qualify it indeed to be the future of rhinoplasty.

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