Category: plastic surgery case study | rhinoplasty

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…

Is Arnica Montana Effective in Rhinoplasty for Reducing Postoperative Bruising?

Bruising after certain elective facial procedures is very common and expected. While well tolerated by patients, given that they have no choice, any reduction of its extent and duration would be appreciated. Rhinoplasty is one of those facial procedures that is well known to cause considerable bruising when osteotomies (breaking of the nasal bones) are Read More…

Plastic Surgery Case Study – Rib Graft Cleft Rhinoplasty

Background: Cleft lip and palate is one of the most common congenital facial deformities. While much focus is on the lip, alveolus and palate, the nose is equally affected as well. While the nose may not be ‘clefted’, deformity underneath it causes a variety of septal, turbinate and nasal cartilage and bone structural alterations. Management Read More…

Upper Lift for Tip Elevation in the Aging Nose

Aging affects all facial tissues to some degree including the nose. The effects of time on the nose occurs at the nasal tip where the cartilages are help up by ligaments to the cartilage structures of the middle value. The effects of age on the nasal tip are that some increased droop can occur as Read More…

Technical Strategies – Diced Rib Graft Injection in Rhinoplasty

Primary or secondary correction of nasal bridge deformities is now well known to be corrected by injectable fillers. The use of hyaluronic acid-based (HA) injectable fillers provides a quick and very directed approach to a wide variety of nasal contour deformities. While effective, no HA filler to the nose provides a permanent contour correction in Read More…

Plastic Surgery Case Study – Diced Rib Graft Rhinoplasty

Background: Depressions along the dorsal line or bridge of the nose can be caused by a wide variety of reasons. Trauma, congenital deformities and adverse outcomes from a prior rhinoplasty can create dorsal line irregularities and indentations. The use of cartilage grafts for their correction would be a standard approach. Cartilage grafts can be obtained Read More…

The Crooked Nose Rhinoplasty

The crooked nose is one of the most challenging problems in rhinoplasty surgery and is the most severe form of a deviated nose. While every crooked nose is different to some degree, they all have anatomic deformities of the nasal bones, the upper and lower alar cartilages and the nasal septum. One distinguishing feature of Read More…

The Cephalic Trim in Tip Rhinoplasty

There are many technical maneuvers in rhinoplasty that help change the shape of the nose. One of the most historic and commonly used techiniques for the nasal tip (tip rhinoplasty) is that of the cephalic trim. A cephalic trim is the removal of a portion of upper edge of the lower alar cartilages. It is Read More…