Category: facial fractures | rhinoplasty

Plastic Surgery Case Study – Female Nasal Fracture Repair

Background: The nose is the most frequently fractured bone on the face. This is undoubtably because it is a very projecting structure that makes it easier to hit than other more recessed areas of the face. Even though the nose is two-thirds cartilage in composition, the small bones in the upper nose are highly prone Read More…

OR Snapshots – Rhinoplasty with Septal Cartilage Graft

One of the fundamentals principles in rhinoplasty is the use of cartilage grafts. Since much of the nose is composed cartilage, its reconstruction or aesthetic augmentation is often done using cartilage grafts. There are three harvest sources of cartilage in rhinoplasty including the nose itself (septum), the ear and the ribs. The septum is Read More…

Fat Injections for Nasal Contractures

Rhinoplasty using an implant for augmentation is most commonly done around the world on Asian patients. With such large numbers of noses being implanted, it is inevitable that a certain percentage of complications will arise from their use. This is usually manifest as infection requiring implant removal. The sequelae of this process is a nose Read More…

Technical Strategies – Intraoral Fixation for Nasal Flaring During Smiling

Smiling is the single most important facial expression. It takes a lot of facial muscles to smile and their pull causes surrounding facial structures to move beyond that of just the lips. The superiorly positioned nose can move when one smiles as the upper lip elevates. The flexible tip of the nose is what can Read More…

Plastic Surgery Case Study – Thick Skinned Revision Rhinoplasty

Background: Rhinoplasty involves changing the nasal shape through changes in the underlying bone and cartilage support. The only location for skin removal in a rhinoplasty is when the nostril width is reduced through various patterns of tissue excision.Thus in the large nose any reductive efforts and their results are heavily impacted by how well the Read More…

Plastic Surgery Case Study – Rhinoplasty for the Pinocchio Nose Deformity

Background: The long protruding nose is well known in rhinoplasty and has been referred to as the ‘Pinocchio Nasal Deformity’. Such a description has been cited in plastic surgery articles all the way back to 1974. More anatomically described as an over projecting nose, it is the result of an elongated cartilaginous framework from the Read More…

The Upper Nasal Lift for Tip Elevation in the Aging Noe

Reshaping of the nasal tip is an important element of many rhinoplasty surgeries. Elevation of the nasal tip, known as increasing tip rotation, opens up the nasolabial angle and is commonly done in many female rhinoplasties. Having a nasolabial angle greater than 90 degrees (usually 95 to 105 degrees) is desired for the female nose. Read More…

Plastic Surgery Case Study – Narrowing in the Wide Nose Rhinoplasty

Background: The tip of the nose is the most individual feature of one’s face. The size, shape and arrangement of the lower alar cartilages over the end of the septum create a wide array of end of the nose appearances. While each nasal tip can be said to be almost as unique as a fingerprint, Read More…

Plastic Surgery Case Study – The Female Slimming Rhinoplasty

Background: The appearance of the female nose is quite different from that of men. While it is usually smaller when patient size is relatively comparable, it is more than just a size difference. The female nose is known to have shape changes as well with a lower dorsum, a more narrow tip and an increased Read More…

Product Review – Costal Cartilage Allografts in Rhinoplasty

Augmentative rhinoplasty requires either a graft or implant to perform. In most cases the use of the patient’s own septum or ear donor site is adequate. In more substantative dorso-columellar augmentations consideration must be given to either rib grafts or synthetic implants to achieve the desired effect. In some cases even an amalgamated approach can Read More…