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Plastic Surgery Case Study – The Older Barbie Nose Rhinoplasty

Background: While rhinoplasty is a commonly performed nose reshaping procedure it is also important to not compromise its airflow function. This has been a basic tenant of modern day rhinoplasty surgery and is the origin of such contemporary adjunctive techniques such as dorsal roof preservation, spreader grafts as well as to some degree the columellar Read More…

Plastic Surgery Case Study – Male ePTFE Nasal Implant Augmentation

Background: One frequent request in rhinoplasty is for dorsal augmentation or building up the bridge of the nose. This requires a graft or implant material to do so, particularly when the augmentation need is significant. Because of these two very different nasal augmentation options there is considerable controversy and strong surgical opinions about which approach Read More…

Plastic Surgery Case Study – Rhinoplasty of the Female Juvenile Nose

 Background: The nose has a wide variety of shapes due to its complex composition of cartilage and bony structures. The tip of the nose represents the best example of that being formed by the intersection of five different cartilages including the septum, the lower alar cartilages and the upper alar cartilages. As a result how Read More…

Plastic Surgery Case Study – Secondary Male Nasal Tip Rejuvenation

 Background: Changes to the tip of the nose are a frequent  part of many rhinoplasty surgeries. A typical full rhinoplasty incorporates changes from the bony upper part of the nose down through and including the tip of the nose. Contemporary rhinoplasty surgery is based on adding structural support to reshaped areas, particularly the tip, to Read More…

Nostril Narrowing in the Wide Nasal Tip

The nostrils are essentially the only non-osteocartilaginous part of the nose that can be surgically modified. While the lower alar cartilages do provide some structural support this is closer to the tip than the nostril base. The lateral or base of the nose is composed only of soft tissues regardless of how wide or narrow Read More…

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