Category: plastic surgery case study | rhinoplasty

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…

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…

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…

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…

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…

  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…

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…

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…