Rhinoplasty Specialists in Naples and Fort Myers, Florida
The oldest recorded surgical treatment of the nose was from an Egyptian papyrus thought to be from about 2500-3000 BC. However, in the 5th century BC, Sushruta in India described a technique of rhinoplasty involving a forehead flap to reconstruct nasal defects. At the time, flaps were also being taken from the cheek. Following a stagnant period of several thousand years, Gasparo Tagliacozzi (1546-1599) was then credited with the “Italian method” of nasal reconstruction, utilizing skin from the arm to repair missing nasal skin. It was Joseph Carpue, a surgeon in the United Kingdom, who revived the Indian method of nasal reconstruction in 1816.
Based on Carpue’s work, two German surgeons, Carl Ferdinand Von Graefe (1787-1840) and Johann Friedrich Dieffenbach (1794-1847) published original articles on rhinoplasty. It was John O. Roe (1848-1915), and American otolaryngologist, who was the first to introduce the intranasal approach to rhinoplasty. He stressed the importance of symmetry and the need to respect corrective rhinoplasty operations, because of the potential for significant disfigurement.
Jacques Joseph is known as the father of modern rhinoplasty. He first published the external method of reduction rhinoplasty in 1898. However, he went on to meticulously study, analyze, and classify various nasal deformities, devise operative procedures for the correction of these deformities, and invent instruments with which to do the work. During World War I, Joseph continued to gain experience and he went on to serve as chief of the section of facial plastic surgery in the ENT department of the Charite Hospital in Berlin.
Subsequent surgeons, Gillies, Foman, Cottle, Converse, Becker, Goldman, Webster, Anderson, Bernstein, and many more have refined and published advanced rhinoplasty techniques, and educated numerous surgeons. Rhinoplasty continues to be an art form and requires a lifelong dedication to learning from one’s own results.
