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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…

Plastic Surgery Case Study – Thick Skin Female Rhinoplasty

Background: Rhinoplasty encompasses a wide variety of bone and cartilage reshaping techniques to change the external appearance of the nose. Bone and cartilage can be reduced in size or reshaped from its present form. In addition, a variety of autologous, allogeneic or synthetic grafts can be added to create nasal augmentative changes. But the one Read More…

Plastic Surgery Case Study – Large Nose Female Rhinoplasty

Background: Rhinoplasty can achieve many different types of nasal changes. The classic requested changes would be reduction of a prominent hump or bump and making the tip smaller, more refined and usually shorter. Straightening of a crooked nose is also a common request and is done as part of any other nasal shape change. These Read More…

Plastic Surgery Case Study – Rhinoplasty for High and Wide Nasal Bones

Background: The nasal hump is probably the most common request for change in a rhinoplasty. By history rhinoplasty has its origins largely for reduction of large nasal humps. While once done in isolation, hump reduction in rhinoplasty today is usually just one part of a series of technical maneuvers that changes the overall nasal shape Read More…

Diced Ear Cartilage Graft in Rhinoplasty

Cartilage is the best type of graft or augmentation material to use in rhinoplasty. For most rhinoplasties the preference for donor site harvest is the septum, ear and then the rib. When the septum is inadequate the ear or conchal cartilage is the back up donor site. While the ear may be able to provide Read More…

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