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Case Study: Lengthening of the Nose with a Rib Graft Rhinoplasty

Background: The evolution of rhinoplasty surgery over the past twenty years has leaned heavily towards a cartilage preservation approach. Focus has been more on cartilage reshaping and less on cartilage removal. As a result, the once common over-reduced or ‘ski-slope’ nose is now a rare finding rather than a common one. When an over-reduced nose Read More…

Shortening the Growing Nose in Older Patients

It is a common perception that our noses get bigger as we get older. I have been asked that very question many times in my Indianapolis plastic surgery practice. This perception is based on the belief that cartilage continues to grow even though our bones have long stopped growing. (in fact, our facial bones are Read More…

Reshaping the African-American Nose with Rhinoplasty Surgery

  Changing the shape of the nose through rhinoplasty surgery continues to be increasingly popular amongst African-Americans. The most common reasons sought for nasal improvement are lack of tip definition, wide nostrils,  flat bridge of the nose and breathing problems. The consistent theme is that the nose is broad and lacks a well-defined bridge and Read More…

The Use of Rib Grafts in Rhinoplasty

Reconstruction of certain nasal deformities requires significant structural support. Despite the ease of use of synthetic implants, the use of cartilage is associated with minimal risk of severe implant problems such as infection or extrusion. In the very visible nose, this is a huge advantage. Infections and extrusions in the nose from foreign materials may Read More…

Teenage Rhinoplasty – Why, When and How

  Being a teenager is tough, but it can be a lot tougher if you don’t like your nose. While most teens deal with their physical imperfections with acne medication and trendy clothes,  a nose that is too big can not be easily camouflagued. Unfortunately, being ridiculed for a big nose is not uncommon. With Read More…

Rhinoplasty Correction of the Hook Nose Deformity

A good looking nose is about balance of its many nasal parts, particularly the three thirds of the nose. One of these, the upper third,  also known as the bridge is a frequent source of dissatisfaction. When it is overgrown or too high, a hump or bump on the nose results. In rhinoplasty terms this Read More…

Rhinoplasty for the Boxy Nose (Wide Tip)

“ My nose is too wide…My nose is big and troll-like nose… My nose is thick and bulbous…I have a nose with a boxy tip” Many patients seeking rhinoplasty have what they commonly describe as a wide, boxy, or bulbous tip of the nose. What they really want is to have it look more refined Read More…

The Many Types of Facial Bone Reduction Surgery

  Changing one’s bony prominences is the primary method for altering the shape of the face. The face is composed of a variety of bones which have convex and concave contours. The external appearance of the face is highly influenced by the convex bone contours. From the brow bone down to the long curvilinear shape Read More…

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