Rhinoplasty Dissection Planes (Subcutaneous, Sub-SMAS, Supra-perichondral, and Sub-perichondral) and Soft Tissues Management

Abstract Rhinoplasty as an operation is akin to a game of chess, where every maneuver will influence the eventual outcome. Undoubtedly, more than one approach nasal soft tissues envelop can produce beautiful and safe results be described in paper namely, subcutaneous, sub-superficial musculoaponeurotic system, supra- sub-perichondral planes. For different justifiable reasons surgeons have their preferences, regarding dissection planes on tip, middle upper thirds, manipulation tissue layers ligaments. The concept presence relevant ligamentous structures how restore them anatomical fashion, help understand logic behind various approaches.