Category: rhinoplasty

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…

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…