Category: rhinoplasty

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…

Depressor Septi Muscle Surgery To Prevent Smiling Nose and Lip Deformities

The nose is often perceived as a static structure on the face. But this is really only true for the upper part of the nose which is solid fixed bone. The bottom third, or the tip, is unfixed cartilage that can be easily moved. One of the ways it can move is through muscle action. Read More…

Alar Base Reduction (Nostril Narrowing) In Rhinoplasty

Reduction of wide or flaring nostrils is often done as part of a rhinoplasty and occasionally as a stand alone nose reshaping procedure. When done as part of a rhinoplasty, it is always done as the last step in the procedure as nostril flare may appear less when nasal tip projection or rotation is increased. Read More…

Injectable Fillers for Rhinoplasty Contour Deformities

Rhinoplasty is a well known reshaping operation of the nose with a long history and a large number of techniques to accomplish these changes. Despite the many rhinoplasty techniques and a lot of experience in performing them, there is always the risk that some irregularity or asymmetry will develop after surgery. While many of these Read More…

The Evolution of the Natural Rhinoplasty

Rhinoplasty is among the most frequent plastic surgery operations of the face. Due to the prominent position of the nose, dramatic improvements in appearance can be accomplished by surgical nose jobs. Rhinoplasty has a long and distinguished history as a reconstructive procedure for more than two thousand years if Indian sources are taken as Read More…

Plastic Surgery’s Did You Know? The Roman Nose and Rhinoplasty

A Roman nose, also called a hook nose or aquiline nose, is one with a prominent bridge which gives it the appearance of being curved or slightly bent. The very word, aquiline, comes from the latin word aquilinus which means eagle-like in reference to the curved beak of an eagle. It is characterized by an Read More…

The Columellar Strut Graft in Rhinoplasty

Most rhinoplasty surgeries done today use an open approach. By degloving the nasal tip skin through a columellar skin incision, the exposure to see the underlying cartilage structure offers more consistent and controlleable structural changes. While most of the attention focuses on the incision located at the midportion of the columellar skin, the true tradeoffs Read More…