Eur J Plast Surg (2004) 27:312
G. Aiach: Atlas of Rhinoplasty, 2nd Edn
Quality Medical Publishing, St. Louis, 2003, 206 pp (ISBN 1-57626-160-3), $225 US
Published online: 22 September 2004
In the foreword to this book, my friend, Jack Sheen, the
guru of rhinoplasty, states that this atlas “reflects the
current state of the art” and that the readers “will be en-
lightened and challenged by the excellence of the mate-
rial.” What more can I say?
Gilbert Aiach has been doing aesthetic rhinoplasties
for 25 years. He states that he has written this book for
“the novice as well as the experienced plastic surgeon.” In
the Introduction basic assessment of normal and abnormal
anatomy is considered together with functional problems.
The next chapter considers the transcolumellar ap-
proach. The illustrations are excellent and the anatomy is
well presented. The performance of the rhinoplasty
through this approach is clearly shown by an excellent set
of photographs. Two important areas to study in this
chapter are his “checklist” which is the preoperative ex-
amination and the operative sheet which illustrates the
surgery performed; the latter is very important when long-
term follow-up is contemplated.
A series of patients are presented which clearly illus-
trates the method of treating the deformity. These are
accompanied by a comprehensive discussion on their
The third chapter presents a group of cases managed
by the closed tip approach and this contains useful in-
formation on lower lateral cartilage management and the
use of tip cartilage grafts.
Chapter Four is written by L. Gomulinski and presents
the management of deviated noses. This should be read
carefully by plastic surgeons—it is not a preserve of
There are four chapters on grafting, both cartilage and
bone in primary and secondary cases. These are very well
presented and excellent results are shown. This is prob-
ably the portion of the book which should be studied most
carefully. It is the ability to rehabilitate the severely de-
formed nose either primary or secondary which “separates
the men from the boys”!
The results shown here are excellent and they illustrate
how much care and expertise is necessary to rehabilitate
the victim of poor primary surgery.
Not only are anatomical problems presented together
with their solution, but also functional post-rhinoplasty
disasters are considered. This is a poorly understood area
by many plastic surgeons. This book clearly explains
causation and cure of these problems.
This is a book for every aspiring rhinoplasty surgeon to
purchase, whether his background is plastic surgery or
ENT surgery. It was a pleasure for me to read and review
I. Jackson (