Category: rhinoplasty | technical strategies

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…

Plastic Surgery Case Study – Custom Nasal Implant for Larger Dorsal Augmentation

Background: Augmentation of the nose is a frequently needed maneuver in rhinoplasty surgery. This is particularly needed in many ethnic patients who are genetically prone to low and wide nasal bones and lack of an elevated straight dorsal line. Dorsal augmentation requires some form of material which can be either synthetic or harvested from the Read More…

Plastic Surgery Case Study – Asian Rib Graft Rhinoplasty

Background: Rhinoplasty often involves augmentation maneuvers to raise the profile of the nose. This is true in many ethnic rhinoplasties, particularly Asians noses. With short nasal bones and a flatter dorsum, the entire profile of the nose can be more recessed. A low dorsum is often associated with a flatter and broader nasal tip as Read More…

Techniques in Diced Cartilage Graft Rhinoplasty (Turkish Delight)

Significant augmentative rhinoplasty of the dorsum usually poses a choice between a synthetic implant and a rib cartilage graft. When choosing a rib cartilage graft, the options are to use it as a carved solid graft or to dice it and assemble it as a moldable wrapped cartilage graft. Introduced back in 1989, a finally Read More…

Plastic Surgery Case Study – Silver Rhinoplasty

Background: Many anti-aging facial procedures are done in middle aged patients or older. Whether it be a facelift or blepharoplasties, it take some aging to need these procedures to help turn back the clock. But when it comes to rhinoplasty, it is usually the opposite. This facial restructuring procedure is often done in younger Read More…

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…