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.