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Unsuccessful Primary Rhinoplasty Outcomes – II. Intraoperative Technique for Prevention

In the November 2021 issue of the Plastic and Reconstructive Surgery journal an article was published on ‘Why Primary Rhinoplasty Fails’. A previous discussion of their preoperative factors that contribute to undesired rhinoplasty outcomes has been done. Now onward to discuss the intraoperative techniques to help prevent common postoperative rhinoplasty problems.   INTRAOPERATIVE Creating A Read More…

Unsuccessful Primary Rhinoplasty Results – I. Preoperative Factors

Rhinoplasty is well known to be a challenging facial reshaping surgery. This is  because of its many anatomic components and the lack of an exact science as to how their alteration and healing will translate into the patient’s desired aesthetic effect. Considerable debate has existed for decades as to which approach to rhinoplasty, open vs Read More…

The Risk Of Revision in Revision Rhinoplasty

Rhinoplasty surgery involves the separation of the overlying soft tissue coverage so that the osteocartilaginous framework can be reshaped. Even when done under direct vision (open rhinoplasty) how the soft tissue responds to these changes and whether these structural changes can produce what the patient wants is not always completely predictable. Thus the risk of Read More…

Plastic Surgery Case Study – Secondary Nasal Augmentation of the Short Nose with ePTFE Implant and Cartilage Grafts

Background: Augmentation rhinoplasty can be done using either synthetic implants or autologous cartilage grafts. Each approach has its distinct advantages and disadvantages and debates have existed amongst rhinoplasty surgeons for decades about the merits of each approach. But around the world the most common method of augmentation rhinoplasty probably used is with an implant for Read More…

The Bulge In Your Nostril Is Probably Caused By A Deviated Caudal Septum

Aesthetic nasal surgery is divided into a total external reshaping (rhinoplasty) or external reshaping combined with functional airway surgery. (septorhinoplasty)  By its name it is obvious that septorhinoplasty includes management of a deviated septum as part of improving the ability to breathe through one’s nose.  While many deviated septums are not that apparent externally if Read More…

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