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The Bulbous Nose Rhinoplasty

The nose can have a wide variety of shapes due to its complex interdigitating anatomy. The nasal bones, septum, upper and lateral alar cartilages create a diverse group of external nasal shapes. Where the greatest variability in anatomic shapes exists is in the nasal tip where the confluence of the lower alar cartilages and septum Read More…

Techniques and Outcomes in Nonsurgical (Injectable) Rhinoplasty

While reshaping of the nose is permanently done by a surgical rhinoplasty, temporary changes can be achieved with injectable fillers. While an injectable or non-surgical rhinoplasty can not accomplish the diverse number of changes that surgery can do, it can be effective in specific augmentative nose changes. Fillers work well for increasing tip projection, eliminating Read More…

Alignment of the Nose In Rhinoplasty Using the Fix Down Concept

Rhinoplasty is one of the oldest procedures in plastic surgery as the well understood term ‘nosejob’ implies. One of the most basic maneuvers in this surgery is the reduction of a hump to achieve a straighter dorsal profile. Most techniques to reduce a hump are from the ‘top down’ by excision and the nasal bones Read More…

The Use of PDS Plates in Asian Rhinoplasty

The use of cartilage grafts is essential in many types of nose surgeries of which Asian rhinoplasty is a prime example. With smaller nasal frameworks and tighter enveloping skin, substantial augmentation efforts are often needed. Cartilage grafts are preferred and rib grafts are the most common autologous harvest site. But not every patient wants a Read More…

Plastic Surgery Case Study – Rhinoplasty for the Boxy Tip Deformity

Background:  The shape of the nose is a combination of the form of its osteocartilaginous framework and the thickness of the overlying skin. The skin plays a major role in the appearance of the nose particularly as the nasal skin becomes thicker. But regardless of thick or thin nasal skin rhinoplasty surgery is about changing Read More…

Basic Aesthetic and Surgical Concepts in Latino Rhinoplasty

Aesthetic rhinoplasty is one of the oldest forms of facial plastic surgery and has been done for over one hundred years around the world. It has been performed in many different ethnic groups by surgeons of those same ethnic groups. As a result nuances in the desired shapes of the nose and the techniques to Read More…

The Emerging Role of Fresh Frozen Rib Cartilage in Rhinoplasty

Rhinoplasty, like every other facial reshaping surgery, poses challenges in achieving exactly the result the patient desires. Thus it is no surprise that the revision rates in rhinoplasty are not low. A result can look just fine early after surgery to eventually progress to irregularities and asymmetries as full healing and scar contracture exert their Read More…

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