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Diced Cartilage Glue Graft for Nasal Augmentation
The Problem Irregular and overresected dorsum Tip bulbosity The Background Excessive hump resections may cause a concave dorsal profile with or without palpable and visible irregularities. Correction of this iatrogenic deformity is challenging, as many patients are critical due to…
Correction of Overresection With Diced Cartilage Injection
The Problem The saddle nose previously corrected with carved costal cartilage, after 4 years was bent and subtotally resorbed. After removal of the remaining costal cartilage graft, a severe saddleback dorsum was evident. The Background In 1996, Skoog reported using…
Correction of Overresection With Non-Rib Cartilage Wrapped in Fascia
The Problem Primary rhinoplasty typically has no grafting issues because grafting material is abundantly present. However, in secondary cases with overresection, providing adequate material for grafting has been an issue of concern. Sufficient cartilage is necessary to provide form and…
Correcting the Overresected Nose
The Problem Overresection of the lower lateral cartilages occurring as sequalae of an effort to create decreased tip volume and improved tip contour is a common complication seen in patients seeking revision rhinoplasty. Deformities that arise from aggressive reductive techniques…
Correction of Overresection With Crushed Cartilage
The Problem A low nasal dorsum and overrotated nasal tip. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Correction of the Pinch Deformity by Alar Batten Graft
The Problem Pinch deformity is one of the main sequelae of routine reductive rhinoplasty. Although the prevailing trend is to preserve the nasal cartilages as much as possible, pinch deformity is still quite common. Several primary rhinoplasty patients show some…
Alar Pinch Deformity
Alar pinch deformity (APD) is the concave deformity of the tip area or nose alar that makes a change in the shape of the tip or causes buckling in on one or both sides. It may occur with or without…
Management of the Ischemic Nose
The Problem Vascular compromise after surgical rhinoplasty is a rare but devastating complication that can lead to negative functional and aesthetic outcomes. Proper pre- and postoperative evaluation and management is critical, and include patient selection, limiting pre- and intraoperative risk…
Simultaneous Orthognathic and Rhinoplasty Surgery
The Problem How to make simultaneous orthognathic and rhinoplasty surgery predictable. The Background Orthognathic surgery and rhinoplasty are both challenging procedures, each requires a lot of experience, skill, and knowledge such as having the clinical judgment to determine when to…