Surgical Treatment of the Crooked Nose
One-stage septorhinoplasty has become a surgical standard of care because many surgeons in the mid-twentieth century recognized that septal surgery played an essential role in the management of the crooked…
Osteotomies
The most challenging and instrumental step in achieving harmonious form and function during rhinoplasty is the successful completion of osteotomies. Osteotomies are performed to correct deformities of the bony nasal…
Rhinoplasty: Dorsal Grafts and the Designer Dorsum
Over the last 2 decades, many of the difficulties in shaping primary tips and rebuilding destroyed secondary tips have been solved through the use of tip sutures and grafts. Dorsal…
Humpectomy and Spreader Flaps
In a primary rhinoplasty that requires a humpectomy, the dorsal aspect of the upper lateral cartilages is commonly discarded. Many of these patients need spreader grafts to reconstruct the middle…
Suture Techniques in Rhinoplasty
Suture techniques are an indispensable means to biologically sculpt the cartilage of the nose. Here the authors review their use in tip-plasty and present a 4-suture algorithm that allows for…
Rhinoplasty 5Pearls: Value of the Endonasal Approach and Vertical Dome Division
Successful outcomes in rhinoplasty depend more on diagnosis than on approach or technique. When the needs of each patient are assessed on multiple occasions, operative performance improves and revision rates…
Diagnosis and Correction of Alar Rim Deformities in Rhinoplasty
Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an…
Alar Cartilage Grafts
The alar cartilages provide the contour and structural support of the nasal tip. Current rhinoplasty concepts support preservation of alar structure with suture techniques or judicious cephalic trim indicated for…
Alar Base Disharmonies
The nasal base is often overlooked during the initial planning of rhinoplasty. Poor surgical planning or improper correction of alar base disharmonies can be irreversible and can have significant functional…
Principles of Photography in Rhinoplasty for the Digital Photographer
The art and technology of photography can be overwhelming to the facial plastic surgeon. Photographic documentation of patients undergoing rhinoplasty is essential for patient consultation, perioperative planning, and postsurgical evaluation….
