During the course of a surgeon\u2019s career, the surgical techniques that were taught during residency and fellowship are gradually modified to create efficiencies, improve outcomes, and decrease complications. The author wishes to present his personal journey with respect to his rhytidectomy techniques over the course of 32 years of surgical practice and over 600 rhytidectomy procedures. Modifications to his original surgical technique will be presented as well as the multiple reasons why these modifications were adopted. The advantages of \u201cdeep IV sedation\u201d (Propofol) anesthesia in an accredited office surgical setting will be discussed. A number of preoperative and postoperative safety measures designed to minimize post-surgical complications and enhance the overall \u201cpatient experience\u201d will also be discussed.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-23305","session","type-session","status-publish","hentry"],"acf":{"status":"Active","airtable_id":"recDJTHfhmg2klOk6","session_name":"Nasal Restriction and Sleep Disordered Breathing","session_id":"108","session_code":"ENT108","session_description":"","session_objectives":"1. Recognize why anatomical restriction of the nasal airway results in an increase in the probability of Sleep Disordered Breathing; \r\n2. Outline the different causes of nasal airway restriction that may need to be addressed to effectively reduce the contribution of nasal restriction to Sleep Disordered Breathing; \r\n3. Describe how anatomical nasal airway restriction also leads to secondary causes of Sleep Disordered Breathing; \r\n4. 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Recognize why anatomical restriction of the nasal airway results in an increase in the probability of Sleep Disordered Breathing; \r\n2. Outline the different causes of nasal airway restriction that may need to be addressed to effectively reduce the contribution of nasal restriction to Sleep Disordered Breathing; \r\n3. Describe how anatomical nasal airway restriction also leads to secondary causes of Sleep Disordered Breathing; \r\n4. Identify where correction of anatomical nasal airway restriction fits in an algorithm for successful management of Sleep Disordered Breathing; \r\n5. Understand how correction of nasal restriction can be done as an office procedure; \r\n6. 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