Category: plastic surgery case study | rhinoplasty

Plastic Surgery Case Study – Small Rib Graft Dorsal Augmentation Rhinoplasty

Background: One of the main features of the nose is the dorsal line or the nasal dorsum. It is more commonly called the “bridge” of the nose as it connects the forehead to the tip of the protruding nasal tip. It is made up of bone (upper half or upper third) and cartilage. (upper lateral Read More…

Plastic Surgery Case Study – More Than A Hump Reduction Rhinoplasty

Background: People consider and undergo rhinoplasty for a variety of nasal shape reasons. But a hump on the bridge of the nose is the number one reason people seek to change the shape of their nose. Whether by intuition or cultural/beauty standards, there is a general desire to have a straight dorsal line of the 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…

The Value of the Alar Rim Graft in Rhinoplasty

The shape of the nostrils and the overlying nostril rims has taken on increased interest in rhinoplasty surgery and its outcomes. Much of this interest in driven by patients who may after a rhinoplasty feel that they show too much of a nostril opening or have nostril asymmetry with one rim of the nostril higher Read More…

The Benefits Of Corticosteroids In Rhinoplasty

Rhinoplasty is one of the most commonly performed aesthetic facial surgery procedures and is one of the oldest as well. It has great success at reshaping the nose but every patient hates to undergo the inevitable swelling and bruising that is well known to accompany the procedure. In many cases the bruising under the Read More…