Finesse in Caucasian Endonasal Rhinoplasty: The S.O.F.T. Concept

Otolaryngol Clin North Am. 2020 Apr;53(2):213-235. doi: 10.1016/j.otc.2019.12.006. Epub 2020 Feb 6.

Abstract

The nasal anatomy of Caucasian people includes thin skin, limited soft tissue volume, a high dorsum, strong cartilaginous framework, and narrow elliptical nasal inlets. A smooth dorsal contour, a well-defined tip, a naturally soft-feeling tip, and a functionally patent nasal valve constitute key objectives for Caucasian rhinoplasty. The author's focus on minimal-impact surgery has resulted in multiple novel techniques, embedded in a coherent algorithmic concept termed the S.O.F.T. (surgery and ongoing care free of trauma) concept. The foundation is the endonasal operation for the entire spectrum of primary and secondary deformities and maximal preservation of anatomic structures.

Keywords: Caucasian rhinoplasty; Endonasal complete release approach; Endonasal rhinoplasty; Ethnic rhinoplasty; Preseptal deformation zone; S.O.F.T. concept; Soft nasal tip; Soft tissue sanctuaries.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Minimally Invasive Surgical Procedures / methods*
  • Nose / anatomy & histology*
  • Nose / surgery*
  • Rhinoplasty / methods*
  • White People