Eur J Plast Surg (2004) 27:214 DOI 10.1007/s00238-004-0618-x BOOK REVIEW L. Clodius H. Behrbohm, M.E. Tardy : Funktionell-sthetische Chirurgie der Nase, Septorhinoplastik. (In German) Thieme, 2004 244 pp (ISBN 3-13-131161-4) US $ 110.00 Published online: 27 March 2004 Springer-Verlag 2004 Together with their publisher Thieme, the two experi- detailed insight by experts into the planning and execu- enced editors, assisted by 15 co-authors, have produced a tion. perfect book: a most helpful atlas (in format) and text- And the complications? My teacher, L.A. Peer, used to book on the aesthetic and functional surgery of the nose. say, that at the end of the operation the surgeon may be It is on a very difficult subject. Why? At first, there is the entirely satisfied. However from the patients’ view point, most important person: the patient and his or her wishes. (“he pays my bill”) who often compares the result not to Are these wishes a sound base for a realistic discussion of his pre-op condition but to his expectations, in about ten technical possibilities? Is there a problem of body dys- percent there is some dissatisfaction. This point also is morphic disorder (BDD), which affects e.g. in the US 5% mentioned, e.g. in chapter 3: Aesthetic ideals and facial of women, seeking cosmetic surgery of the nose? In her proportions; or in chapter 5: Rhinoplasty and the psyche world, the patient may look at her nose problems in an of the patient. But primarily the aesthetic and functional entirely different way than the rhinoplasty surgeon. Sec- alterations and the necessary techniques for their correc- ondly, there is the surgeon, who has to plan, understand tions are outlined in detail. and master the different, difficult techniques. They prac- More titles of some chapters: The dual aspects tically do not allow for mistakes. In addition to the sci- of rhinoplasty: Aesthetic and functional considerations; entific basis there is what is called the art of rhinoplasty. physiology and pathophysiology of breathing; basics for At long last, and usually in any rhinoplasty, there is the septum-operations; the face: aesthetic proportions and necessary combination of functional and aesthetic ele- ideals—including ethnic variants; principles and philos- ments, the nose not only being an organ to breathe ophy of modern rhinoplasty; various deformities of the through, but also an essential element of the beauty of the different parts of the nose with strategies and techniques face. for treatment; pre-, peri- and post-operative management. As this book demonstrates, the rhinoplasty operation is Each chapter is supplemented by pertinent references and not at all a standardized, routine procedure. Individual advice for further reading. approaches are multiple, anatomical complexities allow Certainly any reader, active in the field of rhinoplasty for different approaches. The intellectual mental pre-op- and mastering the German language, will enjoy this won- erative work of the surgeon is transferred into a visible derful volume. Some of its chapters have been translated result. This makes rhinoplasty such a fascinating proce- from English. Many, who read this review, would enjoy dure. having this book in this language. Its many aspects and details are outlined and dis- cussed. In atlas format, profusely illustrated, it provides L. Clodius, MD L. Clodius ( ) Zumikon, Switzerland
European Journal of Plastic Surgery – Springer Journals
Published: Aug 1, 2004
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