Cingi Steps for preoperative computer-assisted image editing before reduction rhinoplasty


  • Can Cemal Cingi PhD,

    1. Communication Design and Management, Faculty of Communication Sciences, Anadolu University, Eskisehir, Turkey
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  • Cemal Cingi MD,

    Corresponding author
    1. Ear, Nose, and Throat (ENT) Department, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey
    • Correspondence to: Cemal Cingi, MD, Eskisehir Osmangazi University, Faculty of Medicine, ENT Department, Eskisehir, Turkey;

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  • Nuray Bayar Muluk MD

    1. Ear, Nose, and Throat (ENT) Department, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey
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  • Potential conflict of interest: None provided.



The aim of this work is to provide a stepwise systematic guide for a preoperative photo-editing procedure for rhinoplasty cases involving the cooperation of a graphic artist and a surgeon.


One hundred female subjects who planned to undergo a reduction rhinoplasty operation were included in this study. The Cingi Steps for Preoperative Computer Imaging (CS-PCI) program, a stepwise systematic guide for image editing using Adobe PhotoShop's “liquify” effect, was applied to the rhinoplasty candidates. The stages of CS-PCI are as follows: (1) lowering the hump; (2) shortening the nose; (3) adjusting the tip projection, (4) perfecting the nasal dorsum, (5) creating a supratip break, and (6) exaggerating the tip projection and/or dorsal slope.


Performing the Cingi Steps allows the patient to see what will happen during the operation and observe the final appearance of his or her nose. After the application of described steps, 71 patients (71%) accepted step 4, and 21 (21%) of them accepted step 5. Only 10 patients (10%) wanted to make additional changes to their operation plans.


The main benefits of using this method is that it decreases the time needed by the surgeon to perform a graphic analysis, and it reduces the time required for the patient to reach a decision about the procedure. It is an easy and reliable method that will provide improved physician-patient communication, increased patient confidence, and enhanced surgical planning while limiting the time needed for planning.