Category: rhinoplasty

Asian Rhinoplasty and Management of the Pseudohump Deformity

Many Asian patients that seek rhinoplasty have some similar anatomic features to their nose. The bridge of the nose is low and the nasal tip has poor projection with a wide nostril base. This has led to an overall augmentation of the dorsal profile from the radix down through the tip. But in some Asian Read More…

Plastic Surgery Case Study – Septorhinoplasty in Adolescent Male Cleft Patient

Background: Orofacial clefts, such as the most common cleft lip and palate deformity, are more than just a cleft. The dysjunction of the lip and alveolus causes significant nasal deformities as well. When the support of the tripod structure of the nose is disrupted beneath it, a wide variety of nasal bone and cartilage derangements Read More…

Plastic Surgery Case Study – The Adolescent Cleft Septorhinoplasty

Background: The unilateral cleft lip and palate is the most common orofacial deformity. While the cleft through the lip and palate is the most obvious component to it, adjacent structures are also affected. This is very apparent in the nose with the classic depressed and widened nostril on the cleft side. The correction of the Read More…

Guidelines for the Use of Injectable Fillers in the Nose (Injectable Rhinoplasty)

Injectable fillers have enjoyed widespread usage over the face for a variety of aesthetic augmentations. The nose has not been neglected for these injectable filler applications for specific bridge and tip enhancements. But the high concentration of blood vessels in the nose and its relatively tight skin, particularly in the tip area, gives one pause Read More…

Plastic Surgery Case Study – Rib Graft Rhinoplasty Reconstruction of Nasal Impaction Injury

Background: Nasal fractures are common and most frequently cause mediolateral bone displacements from an oblique force from the side. These are repaired in a straightforward fashion by relocating the nasal bones in a reverse direction that the injury has caused. This approach can be successful due to the underlying support of the maxilla and orbital Read More…

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 cartilage 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 lasting 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 Hispanic 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, amplifying 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 nose Read More…