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Correction of the Hanging Ala in Asian Rhinoplasty

The hanging ala is one of the not uncommon nasal tip shape discrepancies seen in some Asian rhinoplasties. Effective techniques for lifting the hanging ala are limited to either direct excision along the alar rim or indirect excision along the alar crease above it. Each method has the issue of adverse scarring potential. In the Read More…

Nostril Narrowing Combining External Excision with Alar Cinch Suture

Nostril narrowing, also called nasal base reduction, is a common adjunctive procedure in rhinoplasty. Once the tip of the nose is narrowed or elongated the width of the nostrils may then appear too wide. As the final step in the rhinoplasty procedure the width of the nostrils is assessed and narrowed if so indicated. There Read More…

OR Snapshots – Nostril Narrowing in Rhinoplasty

Rhinoplasty surgery almost exclusively revolves around manipulation of its osteocartilaginous support framework. It is a true facial reshaping procedure whose result ultimately depends on the combination of how the support structure is altered and how the overlying skin shrinks down around it to reveal those changes. The one exception in rhinoplasty in which bone and Read More…

A Progressive Tip Suturing Technique in Open Rhinoplasty

Of all the areas of the nose to be changed in rhinoplasty surgery, the tip  is the most complex both structurally and technique wise. Fortunately it is also the most visible during an open rhinoplasty and this provides the opportunity to make multiple changes and at least see their partial effects with immediate nasal skin Read More…

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