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Plastic Surgery Case Study – Female Refining Rhinoplasty

Background: The popularity of rhinoplasty is a combination of the prominence of the nose on the face and the successful outcomes possible from the procedure. It is hard to know the exact gender distribution that undergoes this type of facial surgery but it seems like more females than males have the surgery. While the nose Read More…

Free Diced Cartilage Grafts in Rhinoplasty

The use of cartilage grafts in the nose is common and is the most frequently used tissue graft in the nose. This is not surprising given that 2/3s of the nose is made up of cartilage. Harvesting adequate cartilage for use in rhinoplasty can be done from a variety of sites from the septum, ear Read More…

Plastic Surgery Case Study – Teenage Male Cleft Rhinoplasty

Background: Of all the difficult cases in rhinoplasty surgery, the cleft  nose remains one of the most challenging. While this challenge is magnified in the bilateral cleft nose, it is only slightly less in the unilateral cleft lip and palate patient. The challenge its not in understanding the deformity but working with nasal tissues that Read More…

Technical Strategies – Rib Graft Shaping in Augmentative Rhinoplasty

Rib grafts are the material of choice for many larger augmentative rhinoplasties and complex nasal revisions. They offer a virtually unlimited amount of cartilage graft material that can be used anywhere on the nose from the bridge down to the tip and columella. Because cartilage is softer than bone and relatively easy to carve, it Read More…

Managing the Soft Tissue Triangle in Rhinoplasty

Rhinoplasty is most commonly done today through an open approach. The wide exposure offered through the devolving of the nose offers many advantages, particularly in complex and revision noses. But there is a ‘price’ to pay for such open exposure and is not primarily the scar that it creates. (usually the transcolumellar scar truly heals Read More…

ePTFE Nasal Implants in Correction of Binder’s Syndrome

Binder’s syndrome or maxillonasal dysplasia is a rare facial development disorder that affects the middle part of the face. It occurs as a result of underdevelopment of the nasal septum (microform achondrodysplasia)which is a driving force of midfacial growth. This results in a small premaxillary jaw segment with a flat midface, short nose with a Read More…

OR Snapshots – Rib Graft Tip Rhinoplasty

While many rhinoplasties are reductive in their overall reshaping effect, some require the addition of support or structure through the use of autologous tissue grafts. Most noses can be satisfactorily augmented or rebuilt through the use of septal, ear or combining septal and ear cartilage grafts. But when such local and regional cartilages harvest sites Read More…

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