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Plastic Surgery Case Study – The Adolescent Cleft Septorhinoplasty

Background: The unilateral cleft lip and palate is the most common orofacial deformity. While the cleft through the lip and palate is the most obvious component to it, adjacent structures are also affected. This is very apparent in the nose with the classic depressed and widened nostril on the cleft side. The correction of the Read More…

Intraoral K Wire Extrusion after Rib Graft Rhinoplasty

Rhinoplasty often uses cartilage grafts for various augmentative and supportive nasal needs. Most of these cartilage grafts are more modest in size and are harvested from the septum or ear. Such grafts are placed by conventional suture fixation or even as onlays in a crushed shape. Greater amounts of nasal augmentation, however, require rib cartilage Read More…

Plastic Surgery Case Study – Early Nasal Swelling After Rhinoplasty

Background: Like all facial surgeries there is going to be swelling and bruising which will persist for a longer period of time after surgery than most people want.  This is certainly no less true for rhinoplasty surgery. But what differentiates nose reshaping surgery from all other facial procedures is the persistence of swelling, often lasting Read More…

Long-Term Evaluation of Allograft Bone in Augmentative Rhinoplasty

  When significant augmentation to the nose is needed, the options have always included the patient’s own bone (autograft), a synthetic material (implant) and cadaveric or tissue bank grafts. (allograft) There are biologic advantages and disadvantages to either nasal augmentation option as well as patient and surgeon preferences, the latter often based on more emotion Read More…

Plastic Surgery Case Study – Female Mexican Rhinoplasty

Background: The Mestizo (Mexican) patient is the largest ethnic minority in the U.S.. One of their most common plastic surgery requests is for rhinoplasty. Their nose shape often presents as a bulbous broad nasal tip without a defined shape and an underlying weak structural framework. These structural characteristics are often combined with thick skin, amplifying Read More…

The Barbie Nose Rhinoplasty

Reshaping of the nose with rhinoplasty surgery offers a lot of change possibilities to the osteocartilaginous support framework. Rhinoplasty surgery can not, however, just make any change that a patient wants. Thus it is important before surgery to educate the patient as to what realistically can and can not be done. One type of nose Read More…

Are Antibiotics Necessary in Rhinoplasty Surgery?

The use of antibiotics in any form of surgery is ubiquitous. To decrease the risk of postoperative infection the administration of antibiotics, both intravenously during surgery as well as orally after surgery, is widely practiced and believed to be effective. This is certainly true in rhinoplasty surgery. Fear of infection is understandable given that nose Read More…

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