Video 3.11: Fix Down Technique – Horizontal and Rotational Shift for Deviated, Crossed and Asymmetric Noses

What this video shows

Video 3.11 illustrates the centring step of the fix down technique, the dorsum preservation method developed by Prof. Dr. Suleyman Tas and published in Plastic and Reconstructive Surgery as 'The Alignment of the Nose in Rhinoplasty: Fix Down Concept'. After the necessary bone modifications, the new dead spaces are filled with bone or cartilage grafts or with Surgicel, and the framework is moved as a whole.

The book summarises the movement in one sentence: a horizontal shift is used for a deviated nose, a rotational shift for a crossed nose deformity, and an asymmetric face needs a combination of both. The video shows how these movements are performed and controlled.

Key points

• Horizontal shift: deviated nose. Rotational shift: crossed nose.

• Asymmetric faces need a combination of both movements.

• Dead spaces created by the shift are filled with grafts or Surgicel.

For patients: the fix down concept treats a crooked or humped nose by repositioning the whole nasal framework instead of cutting the bridge away, keeping the natural dorsal lines.

In the book: Chapter 3 – Dorsum Surgery, section 3.4.2.2.1 Down Techniques – Fix Down Technique, Step 3, pp. 50–55 of Rhinoplasty in Practice: An Algorithmic Approach to Modern Surgical Techniques (CRC Press, 2021). About the book and all companion videos.

Related publication record: The Alignment of the Nose in Rhinoplasty: Fix Down Concept.

Surgeon: Prof. Dr. Suleyman Tas, plastic, reconstructive and aesthetic surgeon, Istanbul. This video is part of the surgeon-training material of the book; patients considering rhinoplasty in Istanbul can use it to understand the techniques used at Prof. Dr. Suleyman Tas Clinic.