Introduction Rhinoplasty is an operation of many intricate complexities that also remains as much of an art as a science wherein “just enough, but not too much” manipulation of various structures is required for optimal outcomes. Surgical challenges that are critical to outcomes that may be addressed during rhinoplasty include, among others, management of the… [Read More]
Rhinoplasty
Endonasal Spreader Grafts
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]
Nuances associated with Septocolumellar sutures
Introduction Ideal positioning of the nasal tip is a very important element to a successful rhinoplasty. Tip projection, rotation, angulation of the infratip lobule, and the columellar-labial junction are controlled by the surgeon. There are numerous methods described in the literature regarding tip stabilization[1][2][3][4]. These include but are not limited to, medial crura binding suture,… [Read More]
Long term evaluation of the Goldman nasal tip procedure. A ten-year follow-up
Abstract Many skilled surgeons are hesitant to apply the Goldman technique to their patients in fear of the consequences on the external nasal valve and overall to the nasal patency due to the fact, that it is an irreversible technique. In this study we prove that these fears are unjustified because both the aesthetic and… [Read More]
Integrated Alar-Lateral Crural Strut Graft: A Novel Technique for Optimizing Tip Dynamics and Sidewall Support
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
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]
Mechanisms of Nasal Tip Deprojection: An Overview
Nasal surgery can be traced back to ancient Egyptian hieroglyphics in 600 B.C. Roe was the first to describe a surgical approach to alteration of the nasal tip in 1887, which was later optimized by Joseph—widely recognized as the father of modern corrective rhinoplasty.1 One of the most challenging elements of rhinoplasty is aesthetic optimization… [Read More]
Bilaminar augmentation for paranasal and premaxillary deficits
Introduction Premaxillary and perialar retrusion is a common finding in Asians and Africans1,2. Being in the immediate vicinity of the nose, these anatomic features directly affect the cosmetic outcome of rhinoplasty and thus warrant the attention of the rhinoplasty surgeon. We conceptualize this anatomic anomaly as a spectrum from mild premaxillary and perialar retrusion to… [Read More]
Use of The Diced Cartilage Glue Graft in Rhinoplasty
Key Points: Synopsis: The over-resected nose or native under-projected nasal dorsum can be augmented with alloplastic or autologous implants, with autologous implants being more preferred due to their safety, biocompatibility and long-term survival. The diced cartilage fascia graft has been the preferred method for dorsal augmentation for several years 1,2, but the diced cartilage glue… [Read More]
Acellular Dermal Matrix (ADM) in Asian tip and dorsal augmentation rhinoplasty
Introduction Asian nasal anatomy different form western nose. Asian nose have low nasal bridge, weak cartilages, poor nasal projection and poor tip definition. Most of the operation in Asian nose is augmentation rhinoplasty. There are many material for augmentation rhinoplasty. Autologous material that commonly used are conchal cartilage, septal cartilage, costal cartilage and dermo fat… [Read More]
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