David M. Kowalczyk and Dean M. Toriumi Abstract Caudal septal extension grafts stabilize the nasal base and set nasal tip position. The airway should be carefully evaluated for signs of…

Rod J. Rohrich, Jamil Ahmad, Yash J. Avashia, and Ira L. Savetsky Abstract Alar base surgery is a powerful aspect of rhinoplasty. Due to the changes imparted by maneuvers that…

Jason Roostaeian and Sean Saadat Abstract Cartilage grafts have long been used in all aspects of both aesthetic and functional rhinoplasty to help correct deformities and provide a sound structural…

Rod J. Rohrich and Jon Kurkjian Abstract The columellar strut is a key rhinoplasty maneuver to unify the nasal tip and maintain tip position. This chapter will give a detailed…

Rod J. Rohrich and Paul D. Durand Abstract The spreader (or autospreader) flap offers an alternative to the traditional spreader graft in reconstructing the dorsal midvault and preserving internal valve…

C. Spencer Cochran and Paul N. Afrooz Abstract The aesthetic uses of spreader grafts include straightening or strengthening a dorsally deviated septum, preventing or correcting a narrow midvault, and establishing…

Aaron M. Kosins Abstract Preservation rhinoplasty (PR) is a new chapter in rhinoplasty history. The term was first coined by Daniel in 2018, and represents a fundamental change in philosophy….

Shahryar Tork and Ashkan Ghavami Abstract Success in ethnic rhinoplasty can be achieved through accurate preoperative analysis, recognition of the common and variable features within each ethnic group, and precise…

Christina R. Vargas and Bahman Guyuron Abstract The approach to the crooked nose is determined by thoughtful analysis of the face in its entirety, including all of the components of…

Rod J. Rohrich, Ira L. Savetsky, and Paul D. Durand Abstract The approach to the nasal tip requires a combination of techniques that will improve tip shape and establish proper…