Grafts and Graft Harvest

Nuances of Butterfly Grafting for the Treatment of Nasal Valve Collapse

by Brian Downs, M.D., F.A.C.S. and Alan Sticker, M.D. on 08/25/2020

Disclosure The authors have nothing to disclose. There is no funding support for the production of this paper. Abstract Internal nasal valve collapse is a common cause of nasal obstruction. Butterfly grafting is a proven technique for repair of nasal valve collapse. This article will focus on nuances of butterfly grafting to both improve functional… [Read More]

Traditional autospreader flaps. ULCs turned inwards and sutured to the nasal septum. Types of incisions made to the ULCs (Apaydin et al, 2016, Wurm & Kovacevic, 2013)

Functional grafts in rhinoplasty

by Jannis Constantinides, MD and Zinovia Tsinaslanidou on 08/21/2020

Introduction Rhinoplasty is one of the most commonly performed procedures by otorhinolaryngologists and facial plastic surgeons all over the world. Doctors should meet their patients’ expectations for optimal functional as well as aesthetic outcomes. However, when the question “aesthetics over nasal function?” arises, the answer is pretty simple, a surgeon should never compromise nasal function…. [Read More]

Figure 1: Pre-operative and 6-month post-operative photos for a patient who underwent an endonasal septorhinoplasty with spreader graft placement and dorsal hump reduction. Improvement in her pre-operative middle vault hourglass shape.

Endonasal Spreader Grafts

by Amar Suryadevara, MD and Susan Yanik, MD, MPH on 04/20/2020

No funding support and authors have nothing to disclose Abstract Spreader grafts are harvested pieces of cartilage placed between the upper lateral cartilage and dorsal septum. In functional nasal valve surgery or cosmetic rhinoplasty placement of these grafts can be accomplished in an endonasal submucosal pocket created between the dorsal septum and the upper lateral… [Read More]

Integrated Alar-Lateral Crural Strut Graft: A Novel Technique for Optimizing Tip Dynamics and Sidewall Support

by Michael J. Brenner, MD, FACS, Yanjun Xie, MD and Shannon F. Rudy, MD on 03/11/2020

Funding/Financial disclosure: The authors have no financial interest to declare in relation to the content of this article. No external funding was received. Keywords: rhinoplasty, nasal tip, alar rim, lower lateral cartilage, sidewall, lateral crural strut graft, alar rim graft, nasal valve Abstract: The lower lateral cartilages are critical structures for maintaining tip projection, refining… [Read More]

Alar rim grafts

by Tareq Sawan, MD, Jonathan Lee, MD and Yan Ho Lee, MD on 03/10/2020

Background The nose resides in a central position on the face and is therefore a major determinant of facial aesthetics and function. For this reason, rhinoplasty is one of the most sought-after aesthetic procedures. Alar rim contour has been shown to have functional and aesthetic implications. In this chapter, we will discuss the relevant anatomy,… [Read More]

The Butterfly graft

by J. Madison Clark, MD, FACS and Mark M. Mims, MD on 02/21/2020

The authors have no relevant financial disclosures or conflicts of interests to disclose. No funding or external support was provided for the development of this manuscript. Abstract Nasal airway obstruction is one of the most common complaints seen by otolaryngologists and the septoplasty is one of the most common operations performed. Despite this, many patients… [Read More]

Tip onlay graft: the Peck graft revisited

by Alessandro Varini, MD, Nicola Bianco, MD, PhD and Cristina Diana, MD on 02/10/2020

Corresponding author for proof Alessandro Varini, MDCasa di Cura Salus, Trieste, ItalyVia Bonaparte 4, 34123 Trieste, Italyvarini.alessandro@gmail.comTel +390403171111 Coauthors addresses: Nicola Bianco, MD, PhDCasa di Cura Santa Rita, Atripalda (Avellino), ItalyVia Appia snc, 83042 Atripalda (Avellino), Italydottnicolabianco@gmail.comTel +390825629111 Cristina Diana, MDCasa di Cura Santa Maria, Bolzano, ItalyVia Claudia dè Medici 2, 39100 Bolzano, Italycristina.diana@alice.itTel +390471310600… [Read More]

The use of crushed cartilage grafts for camouflage and contouring in rhinoplasty

by Cesar D. Garcia, MD and Ozcan Cakmak, MD on 01/21/2020

Disclosure: The authors have nothing to disclose. Keywords (4-8): Rhinoplasty, crushed cartilage, camouflage grafts, rhinoplasty augmentation, tip grafts Abstract Crushed cartilage grafts are a valuable option for slight augmentation and camouflage in rhinoplasty. In this chapter we describe our technique for preparing crushed cartilage in a systematic way as well as a classification system for… [Read More]

The Subalar Graft

by Norman Pastorek, MD, PD, FACS on 01/21/2020

Introduction The subalar graft, was developed to resolve the central facial skin surface anatomic asymmetries associated with a unilateral hypoplastic maxilla in the rhinoplasty patient. In addition to the common rhinoplasty patient complaints of nasal dorsal hump, wide nasal dorsum, boxy nasal tip, ptotic tip, projecting tip, etc. these patients exhibit a distinctive group of… [Read More]

Figure 2. Intraoperative photographs of neodomal planning. White asterisks represent location of native domes. The lateral crura are recruited medially to create new domes (gold asterisks).

Lateral Crural Tensioning and Articulated Alar Rim Grafts

by Amir A. Hakimi, BS, Harry H. Ching, MD and Brian J.F. Wong, MD, PhD on 01/16/2020

Corresponding Author for Proof: Brian J.F. Wong MD, PhD Director, Fellowship in Facial Plastic Surgery University of California, Irvine 1002 Health Sciences Road Irvine, CA 92617 bjwong@uci.edu Phone: 949-463-2196 Financial Disclosures: The authors have nothing to disclose. Keywords: collapse, tensioning, tip, articulated alar rim grafts Introduction: The broad nasal tip is a common tip malformation… [Read More]