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Plastic Surgery Case Study – Female Nostril Narrowing Surgery

Background: There are many elements that make up a desirable shape of the nose. While nostril width is not the most important, it is relevant for some patients and in some rhinoplasty surgeries to help achieve a better nose shape. It is one of the dozen shape considerations when analyzing and planning for a rhinoplasty Read More…

Columellar Skin Closure Suture Materials in Open Rhinoplasty

An open technique for rhinoplasty is the most common approach used today by most plastic surgeons. While this does create a mid-columellar scar, it usually heals in almost to completely undetectable skin scar when careful attention is paid to its closure. Many surgeons uses skin sutures in this area that require secondary removal. While this Read More…

Wrapped Diced Cartilage Grafts in Rhinoplasty Using Surgicel

Small or large cartilage grafts to the dorsum in rhinoplasty can be done in either solid or diced (minced) form. The advantage of a diced cartilage graft is that it can not warp postoperatively and can be shaped digitally both during and immediately after surgery. When placing diced cartilage grafts in the nose it is Read More…

Injectable Fat Grafting in Augmentation Rhinoplasty

Building up of the nose is a frequent objective of many Asian rhinoplasties. There are numerous materials and techniques to achieve nasal augmentation of which the patient’s own cartilage and synthetic implants are the mainstays. While both can be effective neither is perfect and each has its own distinct disadvantages. Injected fat has now been Read More…

The Effects of Taping After Rhinoplasty Surgery

  In rhinoplasty surgery, it is standard of care to apply a compressive dressing to the external nose at the completion of surgery. It usually consists of glued on tapes and an overlying splint made of metal or plastic. Its purpose is to both limit how much swelling will occur in the nose as well Read More…

Technique of Alar Wedge Nostril Narrowing

Rhinoplasty can change most features of the nose through well known bone and cartilage manipulation maneuvers. There are very few soft tissue procedures that can be done to make nasal shape changes. The one nasal shape soft tissue change that can be done is that of the nostrils. The shape of the nostrils is controlled Read More…

Plastic Surgery Case Study – The Cleft Septorhinoplasty

Background: The well known congenital cleft lip and palate deformity affects much more than its name alone indicates. Affected as much as the lip is the nose from its internal breathing structures to its external appearance. While the nose in the cleft patient may be treated during surgery as an infant or child, these early Read More…

The Composite Nasal Implant in Asian Rhinoplasty

In Asian rhinoplasty, one of the principle elements of its treatment is dorsal augmentation. This can be done using a silicone nasal implant or the autologous option can be done using a rib graft. Because of its ease of use and that it spares the patient a donor site, silicone nasal implants are widely used Read More…

Alar Base Lowering in Rhinoplasty

Rhinoplasty surgery can create changes in many aspects of the nasal anatomy. Most of those changes are typically focused on the bone and cartilage that makes up all of the internal and underlying support of the shape of the nose. The one exception to ‘framework’ modification is that of changing the shape of the nostrils. Read More…

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