Category: rhinoplasty

Nasal Tip Rotation and Projection in Rhinoplasty

While there are many changes to the nose that can be done in rhinoplasty, one of the most significant and sought after is tip rotation. While tip position is very relevant to both genders, elevating and narrowing a low hanging tip is a particular focus for many female rhinoplasty patients. While it is well Read More…

Cautionary Use of Injectable Fillers in the Nose (Non-Surgical Rhinoplasty)

The search for a less invasive way to change the shape of one’s nose has only more recently been possible through the use of injectable fillers. Their use in the nose has been labeled as an injectable rhinoplasty or a non-surgical rhinoplasty. Using injectable fillers for certain nasal shape problems or to correct secondary rhinoplasty Read More…

Plastic Surgery Case Study: Teen Rhinoplasty

Background: Rhinoplasty is one of the most popular cosmetic surgery operations in teenagers. While the basics techniques of nasal reshaping in teen rhinoplasty are no different than that in adults, there are numerous unique aspects to it that influence its timing and potential interpretation of the results. Teen rhinoplasty is usually very seasonal, with teenagers Read More…

The PDS Plate in Septorhinoplasty Surgery

One of the hardest nasal problems to correct in rhinoplasty is the deviated or twisted nose. A major contributor to an asymmetric external nose is the septum, the ‘tentpole’ of support for the external cartilage and bone that gives the nose its outward shape. Straightening the septum as a nose realignment technique is well known Read More…

Effect of Depressor Septi Muscle Resection on Upper Lip Length

The nose can have many shapes and they are most commonly perceived from a static standpoint. Since the nose is usually thought of as having a stable shape, it is not often seen as having a change in shape with dynamic facial motion. But the smiling deformity of the nose is well known with the Read More…

Engineered Cartilage for Nasal Reconstruction

Cartilage very often needs to be harvested in rhinoplasty and ear reconstructive surgeries. Even in elective aesthetic rhinoplasty, the use of cartilage grafting is quite frequent. While the septum is often the best source of cartilage graft harvest, it may be depleted from prior surgeries or may simply not have enough graft volume. This then Read More…

Cartilage Graft and Implant Techniques in Asian Rhinoplasty

Rhinoplasty of the Asian nose requires almost completely different techniques than that of the Caucasian nose. In the Caucasian nose it is usually about reduction and rearrangement of structures, while in the Asian nose it is about augmentation and extension of structures. The anatomy of the Asian nose is characterized by a weak and underdeveloped Read More…

Diced Cartilage Graft Rhinoplasty Wrappings

Cartilage grafting to the nose for significant dorsal augmentation almost always requires a rib graft for the volume needed. A rib graft provides ample amounts of graft material to augment the nose to just about any degree but it does have a well known tendency for warping. Even a well carved and positioned rib graft Read More…

Case Study: Rhinoplasty for the Crooked Nose

Background: Combination internal nasal surgery to improve breathing and external nasal reshaping is commonly done. Technically this is known as a septorhinoplasty procedure. While the two nasal surgeries can be done separately and frequently are, one can always influence the other adversely. An overly done rhinoplasty can collapse the middle vault and narrow the internal Read More…

Nasal Surgery in Children and Young Teens

Nasal surgery has traditionally been a procedure that has been reserved for later teenagers and adults when the development of the nose is complete. Since the septum of the nose is the main driving force for the growth of the nose, any manipulations were felt to result in subsequent deviations or arrest of nasal Read More…