Category: rhinoplasty

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…

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…