Middle Eastern rhinoplasty: anatomy, aesthetics, and surgical planning.

Middle Eastern Rhinoplasty (MER) offers a challenging subset of nasal deformities. It has far greater variety in anatomical characteristics than previously thought and requires careful surgical planning. Critical techniques include the following; 1) reduce the specific component of the dorsal deformity, 2) use a balanced approach of augmentation and reduction whenever possible, 3) as reduction increases the need for spreader grafts increases, and 4) achieve tip shape with structural support and not excision. Thieme Medical Publishers.