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Diced Rib Graft Rhinoplasty and Rectus Fascia Wrap

Reconstruction of the dorsum or bridge of the nose is one of the important areas of a good looking nose. Where it is needed for aesthetic augmentation of a congenitally flatter nose or in secondary reconstruction where the dorsum has become resected or flattened, rhinoplasty requires a graft or implant. An autogenous graft of cartilage Read More…

Plastic Surgery Case Study – Female Middle Eastern Rhinoplasty

Background: Ethnic rhinoplasty is a term used to describe nasal reshaping surgery for specific type noses based on racial background or country(s) or origin. The Middle East is made up of a wide variety of countries and cultures whose nose shapes can be as varied as the collection of countries that make up the region. Read More…

Plastic Surgery Case Study – Female Nasal Implant Augmentation Rhinoplasty

Background: Rhinoplasty surgeries fundamentally fall into the three main types, reductive, rehaping and augmentative. A reductive rhinoplasty is where bone and cartilage tissues are removed and none are added and the overall goal is to make the entire nose smaller. A reshaping rhinoplasty is where most of the manipulations are done by suturing and small Read More…

Case Study – Rib Graft Cleft Septorhinoplasty

Background: While patients born with cleft lip and palate have obvious lip, jaw and palate abnormalities, the nose that sits above it is equally affected. It may not be actually cleft but it suffers a variety of well described asymmetries and deficiencies. Internally, the septum is severely deviated away from the cleft side which results Read More…

Plastic Surgery Case Study – The Hump Reduction Rhinoplasty

Background: Rhinoplasty is one of the most common facial plastic surgery procedures performed. It is also the dominant facial reshaping procedure that has been performed for over a century. Historically and up to the present day removal of a hump or a lowering of the bridge of the nose is one of the most common Read More…

Case Study – Asian Nasal Implant Rhinoplasty

  Plastic SurgeryBackground: The need for augmentation of the nose can be due to congenital, traumatic or iatrogenic saddle nose deformities or for elective ethnic rhinoplasty surgery. Ethnic rhinoplasty indications are usually for the Asian or African-American patient in my practice and are dorsal line augmentations that usually involve the tip as well. The debate Read More…

Case Study – Rhinoplasty for the Aging Overprojected Nose

Background: The shape of the nasal tip is primarily affected by its anatomic composition. The size, thickness and length of the lower alar cartilages create the major shape of the lower third of the nose. Combined with the thickness of the nasal skin over these cartilages the shape of the nasal tip is defined. The Read More…

Nasal Septal Perforation Repair with Polydioxanone Plates

Septal perforations are an infrequent and unfortunate sequelae of septorhinoplasty surgery. Subperichondrial exposure of the septum for straightening and/or graft harvest risks disruption of the mucosal lining which may not fully heal if there is lack of cartilage underneath it. This is the root cause of any septal perforations which have a wide range of Read More…

Plastic Surgery Case Study – Revision Rhinoplasty after Implant Removal

Background: Rhinoplasty is a procedure that often requires some form of augmentation or structural supplement. Some surgeons perform this part of rhinoplasty using only autogenous materials such as cartilage grafts while other feel comfortable using synthetic implants. There is is no right or wrong in the debate between autologous vs implant augmentation in rhinoplasty although Read More…

Plastic Surgery Case Study – Ethnic Rhinoplasty

Background: The wide variety of nose shapes that exist around the world have been attempted to be classified by multiple approaches. One type of nasal shape classification,  known as leptorrhine, mesorrhine and platyrrhine, are based on the nasal indices. The nasal index is the ratio of the widest part of the nose to its length Read More…

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