Category: OR snapshots | rhinoplasty

OR Snapshots – Batten Rib Graft Lower Alar Cartilage Grafts in Rhinoplasty

The use of cartilage grafts in rhinoplasty are done for a wide variety of reasons. While all cartilage grafts add support, some of these effects are to improve the shape of the nose while others are to improve its breathing function. Of all cartilage graft placements, the nasal tip is the most common area in Read More…

Plastic Surgery Case Study – Cranial Bone Graft Rhinoplasty with Medial Canthoplasties

Background: Fractures to the nose most commonly result in nasal deviations as the direction of the force usually comes from the side. (e.g.,fists) But direct trauma to the nose results in impaction injuries which push the nose inward resulting in loss of bridge height and a collapsed nasal appearance. The most severe type of nasal 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…

A Clinical Outcome Study of Nasal Implants in Augmentation Rhinoplasty

There is an inevitable need in rhinoplasty surgery in some patients for augmentation. Whether it is for smaller defect corrections or for an overall major dorsocolumellar increase, volume addition to the nose is not infrequently needed. There is no question that cartilage grafting is the best tolerated form of nasal augmentation with the lowest risk Read More…

The Aesthetic Significance of the Anterior Septal Angle in Rhinoplasty

The open approach is the most commonly used technique in contemporary rhinoplasty. Whether it is a primary nose or a secondary revision, the open approach provides wide access and visualization of all nasal structures. But once inside how does the plastic surgeon decide to proceed?. In the March 2017 issue of the journal Plastic and Read More…

Plastic Surgery Case Study – Female Teenage Cleft Rhinoplasty

Background: A cleft through the upper lip always affects more than just the lip. As the cleft cuts through the nasal sill on its way back through the alveolus and palate, the nasal structures above it are altered in very predictable ways. The internal septum deviates towards cleft side, the contralateral inferior turbinate enlarges, the Read More…