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Plastic Surgery Case Study – Direct Open Cleft Tip Rhinoplasty

Background:  The evolution of rhinoplasty becoming a nose reshaping operation with more predictable outcomes took a major step with the introduction of an open rhinoplasty approach. Being able to see the cartilage and bone structures that are to be manipulated offers an obvious aesthetic advantage. And to do so with a negligible columellar scar adds Read More…

Implant Augmentation with Osteotomies in Asian Rhinoplasty

Asian rhinoplasty typically consists of addressing a short and flatter type nose. As part of that midface anatomy the nasal bones are usually broad. As a result the need to augment the bridge of the nose and narrow the nasal bones is a major part of the Asian rhinoplasty. Dorsal augmentation can be done with Read More…

Modifications in the Nostril Narrowing Technique in Rhinoplasty Surgery

In rhinoplasty the only structure in the nose that is unaffected by osteocartilaginous maneuvers is the nostril base. When they remain wide, narrowing procedures can be done and are the last step in any rhinoplasty surgery. Alar base reduction is generally considered when the interalar distance exceeds the intercanthal distance. While often creating a minor Read More…

Indications and Treatment Approaches to the Injectable Rhinoplasty

The use of injectable fillers has a wide variety of aesthetic uses throughout the face. They provide a non-surgical approach to facial augmentation and in some cases are a good substitute for surgery, albeit often on a temporary basis. The appeal to the patients is that they obviously avoid surgery and even if it is Read More…

The Social Significance of Dorsal Hump Reduction in Rhinoplasty

Rhinoplasty remains a consistently popular aesthetic facial procedure because it fundamentally works and is capable of making significant facial appearance improvements. While it is not a perfect operation and it has its own risk of the need for revision procedures, it is associated with high patient satisfaction scores. The interesting question is what changes of Read More…

Alloderm Interpositional Graft in Nasal Septal Perforation Repair

  Septal perforations occur for a variety of reasons, most commonly from septorhinoplasty surgery, trauma and chronic cocaine use. They are difficult reconstructive challenges because of limited surgical access, the difficulty of mobilizing tissues in a tight space and the need for at least a two layer closure of them. If this were a full-thickness Read More…

OR Snapshots – Intraoperative Shaping of ePTFE Nasal Implants

Significant nasal augmentation is needed in certain ethic aesthetic rhinoplasties as well as in reconstruction of saddle nose deformities that have occurred for a variety of reasons. To be effective such augmentations requires the material needed to do it. In most cases the augmentation material of choice comes down to either a rib graft or Read More…

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