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Commentary |

Rhinoplasty A View From the United Kingdom

Julian M. Rowe-Jones, FRCS
Arch Facial Plast Surg. 2009;11(6):423-425. doi:10.1001/archfacial.2009.75.
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Rhinoplasty in the United Kingdom (UK) has traditionally been seen as being performed by otorhinolaryngologists for functional disorders or for external deformity correction following trauma, by maxillofacial surgeons (who in the UK have dual medical and dental qualifications) as adjuncts to midfacial surgery or after major facial trauma, and by general plastic surgeons for cosmetic indications. Furthermore, and, again, traditionally, otorhinolaryngologists and maxillofacial surgeons were able to offer their rhinoplasty services to state-funded National Health Service (NHS) patients for these associated indications, whereas general plastic surgeons were not able to perform cosmetic rhinoplasty on NHS patients.

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Secondary rhinoplasty. Nasal tip surgery involved a columella strut, bilateral 3-mm cephalic rim strip excisions, bilateral single-dome unit sutures, an interdomal suture, a left lateral crural spanning suture, and a left alar contour graft. Preoperative (A) and postoperative (B) frontal views, preoperative (C) and postoperative (D) frontal views with patient's chin tipped up, and preoperative (E) and postoperative (F) basal views.

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