Category: rhinoplasty

Techniques in Costal Harvesting in Rib Graft Rhinoplasty

The use of rib cartilage in rhinoplasty is that it provides a virtual unlimited amount of graft material. Its use is most commonly indicated for significant nasal augmentations particularly in certain ethnic noses that lack overall nasal projection as well as in major nasal reconstructions. It is probably underutilized as a donor site as many Read More…

Plastic Surgery Case Study – Female Tip Rhinoplasty for Asymmetry Correction

Background: The shape of the nose is controlled completely by the shape of the osteocartilaginous framework underneath the skin. Nowhere on the nose is this more apparent than on the nasal tip. The complex scrolled shape of the lower alar cartilages and how they meet in the middle controls the shape of the lower third Read More…

Plastic Surgery Case Study – Bilateral Teen Cleft Rhinoplasty

Background: The bilateral cleft lip and palate deformity poses major reconstructive challenges. At its root cause is the shortage of tissue that has resulted from the cleft as well as scar tissue that has occurred from prior surgeries. The bilateral cleft nose has many typical features from a wide and blunt nasal tip, an underdeveloped Read More…

Early Nose Appearance after Rhinoplasty Dressing Removal

Rhinoplasty is the most common facial reshaping procedure with a long and rich surgical history. While techniques for reshaping the nose have changed and evolved over the years, the one issue that has persisted is the need for some form of postoperative compression. It is viewed as an essential element of the surgery and can Read More…

Plastic Surgery Case Study – Hanging Columella Correction Rhinoplasty

Background: The columella is the strip of skin and cartilage between the nostrils. It provides a smooth connection between the tip of the nose and the upper lip. Its shape is controlled by the cartilages which run within the skin as well as the septum behind it. A ‘good’ columella is really one that does Read More…

ePTFE-Coated Silicone Nasal Implants for Augmentation Rhinoplasty

ePTFE (expanded polytetrafluoroethylene) offers a facial implant material that is very biocompatible and also induces some tissue adherence. Due to the microfibrillar nature of its surface, ePTFE has some surface porosity where fibroblasts can attach and induce collagen attachments. ePTFE, however, does not come in any solid preformed facial implants and they have to be Read More…

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…