Frederico Santos Keim / Júlia Gaspar de Oliveira Santos
FK Clinic / Federal University of São Paulo, BrazilPresentation Title:
Secondary Rhinoplasty to Improve Nasal Tip Definition, Projection, and Rotation Without Revision of Previous Grafts: The Keim Technique
Abstract
Introduction: Loss of
rotation and projection after rhinoplasty not only results in a deformed tip,
but can also create a supratip deformity, requiring revision surgery (secondary
rhinoplasty) for correction.
Objectives:
To describe the Keim Technique, a novel approach to secondary rhinoplasty which
allows improvement of nasal tip definition, projection, and rotation without
redoing primary grafts.
Methods:
Qualitative, descriptive, observational, retrospective study. Data were
obtained from the electronic medical records of patients treated in private
practice by the first author.
Results:
The study cohort consisted of six female patients who had already undergone
primary rhinoplasty but wanted a more delicate and better-defined nasal tip.
All underwent secondary rhinoplasty with an open approach using the Keim
Technique; the average follow-up time was 18 months.
Conclusion: Secondary rhinoplasty is a safe surgery with a very low
rate of infectious complications. The Keim Technique is a viable option with
good short- and medium-term outcomes and excellent patient satisfaction, but it
must be performed by an experienced surgeon.
Biography
Frederico Keim is an otorhinolaryngologist
and specialist in facial plastic surgery. He has performed more than 3,000
rhinoplasties and is a reference in structured rhinoplasty in Brazil, sought
after by people who need not only aesthetics surgery, but also reconstructive
surgery.
Júlia Gaspar is an
Otorhinolaryngologist with a Medical Residency completed at the Federal
University of the State of Rio de Janeiro (UNIRIO); Master in Medical Sciences at
the Federal University of São Paulo (UNIFESP), did a Fellowship in Facial
Plastic Surgery at the IPO Hospital (Paraná Institute of Otorhinolaryngology);
and has a Postgraduate degree in Structural Rhinoplasty from the Jurado
Institute.
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