SynopsisSuccessful intervention for nasal tip ptosis begins with a careful history and comprehensive nasal analysis. Identification and correction of the etiology will allow for surgical modification with predictable and reliable outcomes. Adherence to the tripod theory principles will guide this successful surgical plan. IntroductionA number of different etiologies may contribute to nasal tip ptosis. These… [Read More]
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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]
Infiltrative Anesthesia Technique
Proper local anesthesia is critical to allow atraumatic dissection with minimal bleeding and edema. A total volume of less than 3 ml of 1% lidocaine with 1:100,000 epinephrine is typically used to attain anesthesia for rhinoplasty alone. When performing septorhinoplasty, as much as 10 nil of local anesthetic may be used. The anesthetic is al-… [Read More]
Rhinoplasty Analysis
Development of an operative plan that will achieve the desired outcome requires an understanding of the patient’s wishes and selection of appropriate surgical maneuvers to effect the proposed changes. The surgeon must be able to identify anatomic constraints that will limit the ability to change contour (thick skin, weak cartilages, etc.). Experience with rhinoplasty over… [Read More]
The Rhinoplasty Consult- Patient Evaluation
Patients seeking rhinoplasty span a wide range of ages and ethnicities. In addition, they may have an equally wide range of desired outcomes from the procedure. The initial rhinoplasty consultation is an opportunity for the surgeon to assess the patient. This assessment includes both that of the physical and psychological condition of the individual. In… [Read More]
Anatomy, Incisions and Approaches: Open and Closed Rhinoplasty
Introduction In the modern era of rhinoplasty, the introduction of external rhinoplasty was greeted by enthusiastic advocates and also met with spirited opposition. Over time, however, the tenor of this debate has become more ecumenical. Most surgeons now recognize the broad utility of both endonasal and external approaches. Most understand that there are situations when… [Read More]