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Intraoral K Wire Extrusion after Rib Graft Rhinoplasty

  Rhinoplasty often uses cartilage grafts for various augmentative and supportive nasal needs. Most of these cartilage grafts are more modest in size and are harvested from the septum or ear. Such grafts are placed by conventional suture fixation or even as onlays in a crushed shape. Greater amounts of nasal augmentation, however, require rib Read More…

Plastic Surgery Case Study – Early Nasal Swelling After Rhinoplasty

  Background: Like all facial surgeries there is going to be swelling and bruising which will persist for a longer period of time after surgery than most people want.  This is certainly no less true for rhinoplasty surgery. But what differentiates nose reshaping surgery from all other facial procedures is the persistence of swelling, often Read More…

Long-Term Evaluation of Allograft Bone in Augmentative Rhinoplasty

  When significant augmentation to the nose is needed, the options have always included the patient’s own bone (autograft), a synthetic material (implant) and cadaveric or tissue bank grafts. (allograft) There are biologic advantages and disadvantages to either nasal augmentation option as well as patient and surgeon preferences, the latter often based on more emotion Read More…

Plastic Surgery Case Study – Female Mexican Rhinoplasty

  Background: The Mestizo (Mexican) patient is the largest ethnic minority in the U.S.. One of their most common plastic surgery requests is for rhinoplasty. Their nose shape often presents as a bulbous broad nasal tip without a defined shape and an underlying weak structural framework. These structural characteristics are often combined with thick skin, Read More…

The Barbie Nose Rhinoplasty

  Reshaping of the nose with rhinoplasty surgery offers a lot of change possibilities to the osteocartilaginous support framework. Rhinoplasty surgery can not, however, just make any change that a patient wants. Thus it is important before surgery to educate the patient as to what realistically can and can not be done. One type of Read More…

Are Antibiotics Necessary in Rhinoplasty Surgery?

  The use of antibiotics in any form of surgery is ubiquitous. To decrease the risk of postoperative infection the administration of antibiotics, both intravenously during surgery as well as orally after surgery, is widely practiced and believed to be effective. This is certainly true in rhinoplasty surgery. Fear of infection is understandable given that Read More…

Case Study – Rhinoplasty of the Juvenile-Shaped Nose

  Background: The nose presents in a wide variety of shapes which are important to recognize when planning rhinoplasty surgery. One of these shapes is that known as the amorphous or juvenile nasal tip. It presents as a large bulbous nasal tip that is very soft and spongy. The nasal skin is thick and is Read More…

Use of the PDS Plate in Septorhinoplasty Surgery

  Rhinoplasty is a general term that typically refers to external nose reshaping. But it is not uncommon that the very patient that has a desire to change the shape of their nose also has breathing difficulties due to internal structural issues. While most people think of nose breathing issues due to a septal deviation, Read More…

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