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History of rhinoplasty

Research status: draft — dates below are as given by the cited source; primary-source check pending for rows marked (W). Lines marked pending or (W) are not yet backed by a primary source and are shown for review.

Two-sentence lead. Nasal reconstruction is documented from the Edwin Smith papyrus and Sushruta's cheek-flap; cosmetic rhinoplasty begins with Roe's endonasal operation in 1887 and Jacques Joseph's reduction rhinoplasty in the 1890s. The modern open approach was revived by Rethi (1934), Sercer (1957), Padovan and Goodman (1970s), and made standard in US plastic surgery by Gunter from 1984.

Timeline

Date Event Source
c. 3000–2500 BCE "Treatments for the plastic repair of a broken nose are first mentioned in the Edwin Smith Papyrus" Wikipedia (W)
c. 1550 BCE Ebers Papyrus describes reconstruction of noses destroyed by rhinectomy Wikipedia (W)
c. 600–500 BCE "Rhinoplasty techniques are described in the ancient Indian text Sushruta samhita by Sushruta, where a nose is reconstructed by using a flap of skin from the cheek." Eisenberg: "from the writings of Sushruta in 500 BC" Wikipedia; Eisenberg 1982
c. 25 BCE–50 CE Celsus, De Medicina Wikipedia (W)
15th c. The Branca family of Sicily (arm-flap reconstruction) — "the attainments of the Brancas and Tagliacozzi" Eisenberg 1982
1597 Gaspare Tagliacozzi, De Curtorum Chirurgia per Insitionem — the arm-flap nasal reconstruction Wikipedia; Eisenberg 1982
1794 Letter in the Gentleman's Magazine, London, describing an Indian forehead-flap nasal reconstruction: "A stagnant period of 200 years ended with the revival of the art as a result of a letter published in the Gentleman's Magazine of London in 1794." Eisenberg 1982
1814–1816 Joseph Constantine Carpue performs and publishes two forehead-flap rhinoplasties in England Eisenberg 1982 (influence on Carpue); Wikipedia (W)
1818 Karl Ferdinand von Gräfe, Rhinoplastik (coins the term) Wikipedia (W)
1845 Johann Friedrich Dieffenbach, Die Operative Chirurgie Wikipedia (W)
1887 "In 1887, the otolaryngologist John Orlando Roe performed the first modern endonasal rhinoplasty" (Rochester, NY; the "pug nose") Wikipedia
1892 Robert F. Weir — osteocartilaginous hump reduction (Eisenberg: "The introduction of cosmetic surgery by Roe, Weir and Jacques Joseph") Eisenberg 1982 (W for the year)
1898 Jacques Joseph, Berlin — reduction rhinoplasty; "the enormous influence of the latter on modern concepts"; Nasenplastik und sonstige Gesichtsplastik (1928) Eisenberg 1982; Wikipedia
1902–1904 Freer and Killian — submucous resection of the septum Wikipedia (W)
1934 Aurel Réthi — the external (open) approach Wikipedia (W)
1947 Maurice Cottle — endonasal septal surgery Wikipedia (W)
1957 Ante Šerçer — "decortication of the nose" Wikipedia (W)
1970s Ivo Padovan, then Wilfred Goodman — open rhinoplasty revived in otolaryngology Wikipedia (W)
1975 Sheen shows dorsal + tip grafting for the supratip deformity at the Millard Symposium Wikipedia (Jack Sheen)
1978 Sheen, Aesthetic Rhinoplasty (1st ed.) Wikipedia (Jack Sheen)
1984 Sheen, "Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty," PRS PubMed PMID 6695022
1984 First Dallas Rhinoplasty Course, Gunter + Oneal Rohrich, PRS 2018
1987 Gunter + Rohrich, "External approach for secondary rhinoplasty," PRS — "In 1987, Gunter reported the technical effectiveness of the open rhinoplasty approach for performing a secondary rhinoplasty" PMID 3602167; Wikipedia
1997 The Rhinoplasty Society founded (22 surgeons); first meeting May 1997, president Jack Sheen therhinoplastysociety.org
2000s–2020s Component dorsal hump reduction (Rohrich), structure rhinoplasty with costal cartilage (Toriumi), dorsal preservation revival (Saban; Daniel "Preservation Rhinoplasty" 2018), piezoelectric instrumentation PubMed searches logged 2026-09-08 (PMIDs to be attached in the technique docs)

Eisenberg 1982 abstract (verbatim, PMID 7051367)

"The history of rhinoplasty, from the writings of Sushruta in 500 BC to the present, is discussed. The interest shown in plastic surgery was sporadic for several thousand years and punctuated by peaks of interest stimulated by the attainments of the Brancas and Tagliacozzi. A stagnant period of 200 years ended with the revival of the art as a result of a letter published in the Gentleman's Magazine of London in 1794. The influence that this description of a forehead flap reconstruction of the nose had on Joseph Carpue and European surgeons, and the effects it had in modern times, are noted. The introduction of cosmetic surgery by Roe, Weir and Jacques Joseph, and the enormous influence of the latter on modern concepts are outlined. The psychosocial aspects of rhinoplasty as it affects the patient and surgeon are discussed, and the challenges facing the discipline evaluated."

Build rule

Rows marked (W) rest on Wikipedia's citation of a primary source. Before the page ships, each (W) row gets its primary citation (the Wikipedia reference list names them: Edwin Smith Papyrus, Sushruta Samhita, Tagliacozzi 1597, von Gräfe 1818, Dieffenbach 1845, Joseph 1928, Roe 1887 in Medical Record).

Sources