Category: rhinoplasty

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…

Facial Masculinization Surgery – Middle Third Reshaping – Rhinoplasty

Rhinoplasty is a common facial masculinization procedure given that there are major gender differences in the shape of the nose. A masculine nose typically has a straight or even slightly convex dorsal line in side profile. It also has a nasal tip that is not overly narrow and a nasolabial angle that is at 95 Read More…

Facial Feminization Surgery – Middle Third Reshaping – 1. Rhinoplasty

There are major gender differences in the shape of the nose despite that nose shapes comes in a wide variety of shapes and sizes. In achieving a more feminine-looking nose the key is the shape of the dorsum (bridge) and the tip. A straight or preferably slightly concave dorsum with a tip that is narrow Read More…

The Anatomic Basis for the Bifid Nasal Tip and Its Correction

The shape of the nose varies greatly amongst people and its uniqueness is very much like a fingerprint for the face. No two noses are ever exactly alike. (unless one is a twin) But there are distinct types of shapes, particularly at the tip of the nose, which can be classified by their underling cartilaginous Read More…

Management Strategies for the Pollybeak Deformity in Revision Rhinoplasty

There are many reasons for a revision after a primary rhinoplasty. One of the most common causes for dissatisfaction with a primary rhinoplasty result is what is known as the pollybeak deformity. This is where persistent fullness remains in the supratip area creating a rounded appearance to the tip of the nose in profile. This Read More…

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…

Plastic Surgery Case Study – Soft Tissue Grafting for Nasal Tip Reconstruction after Implant Extrusion

Background: The use of implants in the nose has a long history, some of which is checkered with complications. One of the very unique aspects of putting an implant in the nose is that its soft tissue cover is thin. Given the basic effect of placing a structurally stable and unchanging dimensions of a synthetic 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…