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Open Structural Technique in the Asian Cleft Rhinoplasty

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…

Plastic Surgery Case Study – Rhinoplasty for the Long Thin Nose

Background: Rhinoplasty changes the shape of a wide variety of noses. This is why a large number of nasal reshaping techniques exist and the ‘cookie cutter’ approach to rhinoplasty surgery will leave some patients wanting. Besides identifying what anatomic structures create the nasal shape seen, it is also important to recognize what effects modifying the Read More…

Alar Flare Reduction in Rhinoplasty

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…

Compressed Diced Cartilage Grafting in Rhinoplasty

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…

Plastic Surgery Case Study- Female Hump Reduction Rhinoplasty

Background: The surgical reduction of a nasal hump is one of the oldest techniques in rhinoplasty. It has been done since the nasal reshaping procedure was introduced and, historically, defines what a rhinoplasty was. It has long been recognized that a raised or convex profile to the dorsum of the nose is not an aesthetically Read More…

Dorsal Line Modifications in Rhinoplasty

The shape of the nose is as varied amongst people as the weather is on any one day around the world. While not quite as distinct as a fingerprint, one’s nose shape is fairly unique in each individual. But despite this tremendous diversity in appearance, there are certain nasal shapes that many patients strive to Read More…

Combining Open Rhinoplasty and Subnasal Lip Lift

Patients desiring changes to the nose and reshaping of the upper lip are common. Nose changes are done by a variety of rhinoplasty techniques and lip changes accomplished by augmentations or surgical lifts. One of these uplifting lip procedures is the well known subnasal lip lift. Because it is done by an excision of tissue Read More…

OR Snapshots – Injectable Diced Rib Graft Rhinoplasty

Cartilage grafting to the nose is most commonly done using anatomically convenient graft sites. This usually means the septum which offers straight graft dimensions or the ear which offer curved or shaped grafts. For many traditional rhinoplasty surgeries these graft sites are sufficient both in size and shape. But in rhinoplasties that require larger amounts Read More…

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…

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