Introduction Cleft lip and palate (CLP) is the second most common congenital defect in the United States—affecting approximately 7,000 infants annually. CLP is caused by a variety of environmental and genetic factors. Due to hypoplastic or absent tissues, as well…
The Problem Aging causes tremendous effects on skin and underlying structures of the nose. These changes may lead to nasal airway incompetencies and cosmetic deformities. Rhinoplasty in this group of patients needs specific evaluations and precise technique. The Background Age-related…
The Problem The predominant characteristics in thick-skinned patients seeking rhinoplasty are a bulbous nasal tip, poor definition of the different nasal subunits, and persistence of postoperative swelling if compared with normal- or thin-skinned patients, leading to inferior esthetic outcomes. The…
Introduction Almost every osseocartilaginous vault is asymmetric. This emphasizes the importance of individualized osteotomy when performing rhinoplasty. Specific anatomical variations in the bony vault such as width, length and height should be considered when selecting specific osteotomies. Osteotomies should no…
The Problem The mixed race nose, also called mestizo nose or Hispanic nose, is a term that refers to nasal characteristics that include thick skin, a bulbous tip, and weak and flimsy cartilaginous structure. Patients frequently exhibit Fitzpatrick skin types…
The Problem Massive immigration started in the colonial period and a consequent high degree of miscegenation made rhinoplasty in the Brazilian population a challenge that requires handling and mastering different techniques. Due to the racial mixture, patients of predominantly White…
The Problem In the author’s primary rhinoplasty practice, at least 40% of patients are of Hispanic origin. There is a large diversity of presenting issues as well as requisite surgical techniques. Rather than classify by country of origin, I will…
The Problem The patient desires an aesthetic change of the African American nose. The Background The African American nose has unique features such as a wide nasal base with a wide nasal sill, flaring alar, wide nasal bridge, and weak…
The Problem The common presentation is of a young woman, with a simple nasal hump in mid-profile and with a straight septum and normal tip. Many would consider these to be excessive concerns ( Fig. 66.1 ). Usually there had…
The Problem Slightly deprojected Northern European nose with boxy tip, ill tip definition, middle vault hump, bony and cartilaginous, and incontinuous dorsal aesthetic contour lines. The Background Rhinoplasty is recognized by the majority of facial plastic surgeons as one of…