Plastic and Reconstructive Surgery. 141(2):355–363, FEB 2018
DOI: 10.1097/PRS.0000000000004091
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PMID: 29369988
Issn Print: 0032-1052
Publication Date: 2018/02/01
The Keystone: Consistency in Restoring the Aesthetic Dorsum in Rhinoplasty
Paul Afrooz;Rod Rohrich;
+ Author Information
Dallas, TexasFrom the Dallas Plastic Surgery Institute.
Abstract
The keystone represents the union of six distinct anatomical structures between the bony vault and the cartilaginous midvault. In reshaping the nasal dorsum, the individual components of the nose respond variably as the fusion points of the keystone are released. In restoring the nasal dorsum, meticulous effort is made to equalize the width between the bony vault and the cartilaginous midvault. Techniques used for width equalization will yield gratifying long-term results and avoid common pitfalls such as the inverted-V deformity.
