Category: rhinoplasty

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…

OR Snapshots – Rib Graft Tip Rhinoplasty for Increased Tip Definition and Projection

Tip projection is an important part of the nasal shape that can be changed in tip rhinoplasty surgery. Tip projection is different than tip rotation as the former pulls the tip of the nose away from the face while the latter changes the axis of the tip point around the sagittal plane of the face. 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…

Technical Strategies – Wedge Resection for Nostril Narrowing in Rhinoplasty

Rhinoplasty is capable of changing many features of the nose based on bone and cartilage manipulations. And while the shape of the nostrils is influenced by cartilage changes at the nasal tip, not all aspects of the appearance of the nostrils can be so changed. While the width of the nostrils is not necessarily influenced Read More…

The Effective of Nasal Base Muscle Resections for the Plunging Nasal Tip

The plunging nasal tip deformity is a dynamic aesthetic issue that occurs when smiling. The tip actively moves down when smiling due to the combined actions of the muscles around the nasal base. As a result transection of the septi nasi muscle is commonly recommended done its treatment. In the April 2018 issue of the Read More…

The Art of Rhinoplasty – Wall Hanging

Rhinoplasty is known to be a complex operation in which it is not easy to always get a completely predictable result. This is because there are a large number of anatomic components to the nose that interconnect and establishing harmony and proportions between them as they are changed by the trauma of surgical intervention can Read More…

Technical Strategies – Tissue Ingrowth into Solid Silicone Nasal Implants

For major nasal augmentations the options come to using a rib graft or an implant to achieve it. Each augmentation method has their own advantages and disadvantages and one isn’t necessarily better than the other. Each patient situation must be assessed on an individual basis in terms of amount of augmentation needed and the patient’s Read More…