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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…

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…

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…

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