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Nov/Dec 2009

Has the Pendulum Swung Too Far?Trends in the Teaching of Endonasal Rhinoplasty

Arch Facial Plast Surg. 2009;11(6):414-416. doi:10.1001/archfacial.2009.70

Medicine, and surgery in particular, is trending toward less invasive procedures, reduced morbidities, and quicker recovery times. Cholecystectomies that used to be performed through a large abdominal incision and required a 7-day hospital stay are now done laparoscopically, which allows patients to be home by that evening. As simpler, less invasive, more effective treatments have been developed, many procedures that were once common no longer exist.

For better or worse, the patients of today expect minimally invasive procedures. This trend is not limited to general surgery but also exists in aesthetic medicine. The 15% decrease in cosmetic surgical procedures over the last 2 years may not be the sole result of the poor economy.1 The tremendous popularity of fillers and neurotoxins has resulted in many patients who expect all cosmetic procedures to be performed with effective and immediate results. Additionally, the popularity, although arguably a fad, of short scar facelifts, minilifts, and the like cannot be denied.

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