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Improving Closed Reduction of Nasal Fracture Outcomes

The broken nose is the most common facial fracture and references to its treatment date back a thousand years. It is usually viewed as a simple problem that is easily fixed by  trying to push back into place the displaced nasal bones. But the reality is that nasal fractures are underdiagnosed and untreated and there Read More…

OR Snapshots – The Open Rhinoplasty

Rhinoplasty surgery requires incisional access to perform osteocartilaginous reshaping. The most common historic technique was the ‘closed approach’ where all incisions were placed inside the nose. Because this provided limited visual access it took a lot of experience to master aesthetic nasal surgery. This was the standard in rhinoplasty until the 1990s were it was Read More…

OR Snapshots – The Bifid Nasal Tip Rhinoplasty

The shape of the nose amongst people is as different as that of fingerprints. Between the innumerable size and thicknesses of the bone and cartilage that make up the nose and its thick or thin skin cover, the variability in nose shapes is endless. What rhinoplasty can do is to change the shape and thicknesses Read More…

Rhinoplasty using ePTFE Nasal Implants

Augmentation of the nose can be done by a variety of rhinoplasty techniques and materials. When possible, one’s own cartilage is always the best from a biologic standpoint and is preferred if it can provide a satisfactory aesthetic outcome. The use of septum, ear and rib cartilages offer a wide variety of graft choices that Read More…

OR Snapshots – Injectable Diced Cartilage Grafting Technique

Rib grafts are a well known autologous graft in rhinoplasty for significant augmentation. The rib graft can be used as either a solid piece (en bloc) or can be diced into very small cubes and turned into a sausage-like wrap. Both rib graft methods have their advantages but the diced technique effectively eliminates any chance Read More…

Plastic Surgery Case Study – Male Middle Eastern Rhinoplasty

Background: The shape of the nose is incredibly diverse and no two people have the exact same nose.  But in the world of rhinoplasty surgery, noses are lumped into different categories based on ethnicities. In general any rhinoplasty that is not performed on a Caucasian nose is called an ethnic rhinoplasty. One such ethnic rhinoplasty Read More…

OR Snapshots – Diced Rib Graft Rhinoplasty

A significant build-up of the nose requires a combination of bridge and tip augmentation. In primary rhinoplasty this is usually needed in many ethnic patients who lack nasal projection from the face. This may also be required in revision rhinoplasty when over reduction has been done from a prior procedure. In such cases the key Read More…

The Role of Rhinoplasty in Facial Feminization Surgery

Facial feminization surgery changes the structure of the male face to appear more feminine. While procedures from the skull down to the trachea exist to make these modifications, nose reshaping is one of the mainstay operations. That is not only because it sits in the middle of the face but because it has distinct gender Read More…

OR Snapshots – Septal Graft Dorsal Augmentation Rhinoplasty

Augmentation of the nose can be successfully done by a variety of materials. While each  autologous and alloplastic material has their own advantages and disadvantages, one’s own cartilage will always have the superior biologic edge. While cartilage is from one’s own body and is well accepted like all other autologous grafts, it has the unique Read More…

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