Pythagoreans Closed Rhinoplasty and Double Nasal Tripod Balanced

The objective of this study is to show a new closed rhinoplasty surgical technique that relates nasofacial anatomy with the Pythagorean theorem and the elastic forces quantified in Hooke’s Law The Pythagorean Theorem states that in any right triangle; the square of the hypotenuse is equal to the sum of the squares of the legs. Similarly, this concept can be applied to the nasal tripods of the nose if we consider that their structure is triangular with a central vertical leg shared, or columella. The nasal wings would be the hypotenuse, and the nasolabial junction would be the triangular base. In this context, if the lower leg is shortened, the central leg lengthens, causing the lateral crura, or hypotenuse, to narrow inward. In this article, we show the developed surgical technique. For the modification to be feasible, the legs must be freed while remaining intact. Based on these principles, we have designed Two new surgical tools to release and modify the nasal triangle. The conclusion is that this new technique can be performed with very good results in closed rhinoplasty without leaving scars.