Rhinoplasty

Middle East nose in Rhinoplasty

Abstract / Synopsis Race and ethnicity have no scientific or anthropologic validity, yet nasal plastic surgeons continue to categorize patient demographic variables according to racial and ethnic lines. Ethnicity tends to include race but is also dependent on culture, language, religion, and nationality. Here we discuss the most common features of the Middle Eastern nose… [Read More]

Fat Graft Rhinoplasty

Fat graft rhinoplasty A procedure which removes surplus fat cells from one area of the body and then re-implants it. Advantages of autologous fat grafting Using patient’s own fat is almost perfect Softer nasal bridgeLooks and feels naturalNo rejectionNo extrusion or migration Prelude to 2nd stage rhinoplastyIdeal replacement material for extruding implant Disadvantages of autologous… [Read More]

African American Rhinoplasty

Introduction Rhinoplasty in African-Americans has become an increasingly common and accepted procedure, and facial plastic surgeons must be skilled in creating a harmonious “ethnic” nose. In a recent study by the American Academy of Facial Plastic and Reconstructive Surgery, when given multiple options for facial plastic surgery, African Americans most commonly choose a rhinoplasty (1)…. [Read More]

Rhinoplasty in the Latino Nose

Abstract Latino patients are also known as hispanic or mestizo and are a combination of different ethnic groups that originate from Spanish speaking countries from around the world. When performing surgery on this group of ethnic patients, the goals are to achieve a natural looking appearance preserving patient’s ethnic features and hopefully fulfilling the patients’… [Read More]

Primary Tip Rhinoplasty and Suture Techniques

Each nose is unique with its own characteristics. The patient has an expectation considering to communal perception of beautiful nose, while, the surgeon’s goal is to create a nose that will be admired by the patient, the community, and the surgeon him/herself. There is no doubt that, understanding the patient’s goals is the major issue… [Read More]

Wide marginal incision in rhinoplasty: technique and indications

The internal approach in rhinoplasty requires a surgical experience and an artistic perspective to provide adequate results on nasal deformities. The external approach allows cartilage shaping and grafting through a wider exposition of the entire nasal structure (bones and cartilages), but leaves a columellar scar. The wide marginal approach is known as open rhinoplasty without… [Read More]

The Bulbous Tip

Introduction Central position of the nose on human face is an obvious fact frequently pointed out in rhinoplasty literature. Nasal tip, being the most prominent part of the nose, attracts the eye, making any imperfection in this region potential concern for a rhinoplasty patient. Broad, bulbous tip with its’ disproportion in width between the nasal… [Read More]

The Bulbous Nasal Tip: a review of current surgical techniques

ABSTRACT Objective: To review the described surgical techniques for addressing nasal tip bulbosity and present a novel application of a previously described technique.Study design: Review.Surgical Methods: Cephalic resection, suture techniques, grafting techniques, techniques involving transection of the dome or lateral crura, and lateral crura repositioning techniques.Conclusion: The surgical treatment of nasal tip bulbosity requires a… [Read More]

Surgical Treatment of Nasal Obstruction in Rhinoplasty

Abstract Often, rhinoplasty patients present not just for aesthetic correction, but for improvement of their nasal breathing due to functional abnormalities or problems. Because the aesthetic and functional problems must be addressed together, an understanding of both the internal and external anatomy is essential. In this article, the authors review the differential diagnosis of nasal… [Read More]

The Endonasal Approach: Overview and Personal Philosophy

Abstract Endonasal rhinoplasty has long been considered a reductive operation. With the advent of cartilage grafting and support and better understanding of nasal dynamics, endonasal rhinoplasty can be performed in a predictable manner. The advantages of shorter operative time, less prolonged postoperative swelling, and less postoperative skin contracture have allowed endonasal rhinoplasty to continue to… [Read More]