Rhinoplasty is one of the most popular surgical procedures in plastic surgeries. Good results
depend not only on the surgical technique but also on individual preference and philosophy of the
surgeons. This article reports on the survey of the attitude, preference, and philosophy of surgeons,
and finally to elicit the evidence based consensus of current trends mainly dealing with the primary
rhinoplasty. The Korean Society of Rhinoplasty Surgeons (KSRS) prepared a questionnaire composed
of 20 questions asking about the primary esthetic rhinoplasty. A total of 77 out of 450 plastic
surgeons attending the rhinoplasty symposium, 2009, Korea replied and the answerswere assessed.
Twenty questions were about operation techniques, preference of alloplastic implant, autologous
materials and trivia about the complications rates, etc. Many plastic surgeons preferred silicone to
Gore-tex® . In cases of autologous cartilage grafts, experienced plastic surgeons were more likely to
use septal cartilage. But generally, ear cartilages were more frequently used when it is concomitantly
used with alloplastic implants. Among silicone implants, boat-shape implant was preferred to L-shape
regardless of their surgical experiences. Many Korean plastic surgeons prefer open rhinoplasty to
closed rhinoplasty and routinely use boat shape silicone with auricular cartilage when they are doing
simple primary rhinoplasty. (Archives of Aesthetic Plastic Surgery 17: 99, 2011)