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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…

Septorhinoplasty for Obstructive Sleep Apnea Symptom Improvement

Obstructive sleep apnea (OSA) is a well known medical condition that is caused by obstruction of the upper airway. This obstruction can be anywhere from the nasal passages, the upper nasopharynx (soft palate), the oropharynx (tongue) down to the epiglottis. In many cases it is believed that the cause of OSA is at multiple levels Read More…

Facial Asymmetry in Deviated Nose Rhinoplasty

Patients that seek rhinoplasty have many reasons for doing so. One of the most common and often at the near top of the list is that of the deviated nose. Since the nose is a prominent midline facial structure, its straightness or lack thereof, is fairly easily discernible. While nasal deviation is a common problem Read More…

Depressor Septi Nasi Muscle and Dynamic Tip Descent

In a rhinoplasty there are many manuevers that can effect the final aesthetic result. But the vast majority of these are based on bone and cartilage reduction/addition/modifications. Isolated soft tissue changes in rhinoplasty are far fewer and changes in the muscular attachments are the most infrequently performed. The nasal muscle of interest is the depressor Read More…

Revisional Nasal Implant Surgery

Certain types of rhinoplasty surgery requires considerable augmentation to achieve its aesthetic effects. This is most commonly seen in the need for bridge or dorsal line augmentation but can extend to include the tip as well. This is most frequent in ethnic Asian or African-American rhinoplasties but can be needed in other nasal shape conditions Read More…

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