Category: rhinoplasty

The shape of the tip of the nose is one of the modifiable areas in rhinoplasty. With the visibility offered with an open technique, the tip cartilages can be resected, sutured and cartilage grafted to achieve a new tip shape. One of the most common requested tip changes is for increased rotation particularly amongst female Read More…

The thickness of the nasal skin has a well known important influence on the outcome of rhinoplasty. Such skin thickness can have either be a favorable or an unfavorable effect on the eventual shape of the nose. By far surgeons would much rather have thinner skin but there is no avoiding the thick-skinned rhinoplasty patient Read More…

Rhinoplasty surgery produces an expected amount of swelling and bruising based on the extent of the surgery. Like all facial surgeries the swelling and bruising is temporary and takes time go resolve. The swelling from rhinoplasty, however, is well known to be prolonged and is most manifest in the tip area. The tip swelling can Read More…

Rhinoplasty is usually perceived as being a young person’s facial surgery… and for the most part it is. The majority of elective nasal reshaping surgery is done on male and female patients between the ages of 18 to 35 years old. But on the further end of the spectrum is the ‘senior rhinoplasty’ patient. Probably Read More…

The projection of the tip of the nose is an important element in rhinoplasty. This becomes of almost primary importance in noses that have inadequate tip projection due to congenital development such as in Asian and African-American noses. Numerous techniques have been used to increase tip projection based on the nasal tripod concept with the Read More…

Rhinoplasty can be a difficult operation in many noses. But its difficulty rises when rhinoplasty is needed in the cleft patient due to the structural deficiencies and asymmetry of the nasal cartilages and the often scarred and thick tissues from prior nasal surgeries. It becomes even more challenging in the Asian cleft patient who has Read More…

In rhinoplasty there are numerous features of the nose that can be reshaped. Some of these are of major size while others are comparatively small. Small size in rhinoplasty surgery, however, does not make it aesthetically insignifcant. One such small nasal feature is tknown as alar flare. This should not be confused with nasal base Read More…

Cartilage grafting in rhinoplasty is an essential part of aesthetic nasal augmentation. It is traditionally used as an onlay method, using single layer or stacked grafts. While effective for some cases, it requires straight grafts that can be shaped with smooth edging.  This does not always fit, however, every defect and straight grafts can be Read More…