Ep. 189 Rhinoplasty Fundamentals and Beyond: In-Depth with Dr. Patrick Cleveland

Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah. --- SYNPOSIS First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty. --- TIMESTAMPS 00:00 - Introduction 03:28 - Fundamentals of Rhinoplasty 04:19 - Interviewing Patients & Identifying Red Flags 10:25 - Physical Exam for Rhinoplasty 15:14 - The Importance of Photo Documentation 30:26 - Cephalic Trim & Turnover Flap Techniques 32:52 - Tip Supporting Grafts and Cartilage Harvesting 36:46 - Instruments for Rhinoplasty 39:42 - Sourcing Cartilage in Revision Rhinoplasty 49:20 - Post-operative Care & Complications 56:07 - Future Directions in Rhinoplasty --- RESOURCES Patrick Cleveland Facial Plastic Surgery: https://www.drpatrickcleveland.com/ Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/