Plast Reconstr Surg 2022 05 26;149(5):901e-904e. Epub 2022 Apr 26.
From the Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédias Abel Salazar, Universidade do Porto, Hospital da Luz Arrábida; and Plastic Surgery Division, Faculty of Medicine, University of São Paulo.
Summary: For V-shaped nasal bones, the authors consider that ostectomy of the dorsal keystone area can be avoided, and this has led to the development of a new preservation technique: the spare roof technique B (or Ferreira-Ishida technique), where the bony cap is preserved. It includes six main steps, as follows. Step 1, draw on the surface of the skin the desired dorsal brow-tip aesthetic lines, the pyriform aperture, the rhinion, and the amount of triangular bone that has to be taken out to allow pushing-down the bony cap, and the transversal line in the beginning of the nasal hump. Read More