The Problem Wide, firm, convex lower lateral cartilages. The Background Among all the anatomic nasal aesthetic problems that bring a patient to the plastic surgeon, the boxy tip is very common, especially in the female patient. The firm, abundantly convex…
The Problem Creating normal structure and shape to the nasal tip. The Background If rhinoplasty is the most difficult procedure in aesthetic plastic surgery, tip plasty is arguably the most difficult procedure in rhinoplasty. In our experience, the most frustrating…
The Background A piezotome is an electrically powered ultrasonic tool that delivers rapid and controlled cutting of bone ( Fig. 30.1 ; Video 30.1). It has been available to dentists, maxillofacial surgeons, and neurosurgeons for dental and craniofacial osteotomy, but…
Introduction Lateral osteotomies and transverse osteotomies are typically performed in order to correct deviation of nasal bones, to narrow wide nasal bones, and/or to close an open roof. Lateral osteotomies can be done via many methods. Two common approaches include…
The Problem The nasal bony pyramid is a complex anatomical structure. Lateral and medial osteotomies are planned and performed to contour and shape the bony vault. This step has a critical role in the function and aesthetic of the nose.…
The Problem Dorsal nasal augmentation is frequently needed in many secondary and some primary rhinoplasty patients. The Background The autogenous cartilage graft is commonly utilized in augmentation of dorsal nasal deficiencies. Historically there has been an unwritten agreement to count…
The Problem Shallow nasal radix. The Background One of the relatively common anatomical variations is a deficient nasal radix. Radix augmentation is therefore a common procedure in rhinoplasty that has significant effects on patient aesthetics. In 1996, Skoog reported using…
The Problem A low radix creates the illusion of a pseudohump. 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
The Background The dorsal hump is an ethnic feature in the Mediterranean White and Middle Eastern populations. The reduction of the dorsal hump has become a crucial rhinoplasty step in this group of patients. Depending on the degree of reduction,…
The Problem Dorsal hump resection or reduction is one of the most commonly performed rhinoplasty procedures. Patients often present with concerns regarding a “hump” or over projection of the dorsum of the nasal vault. As such, rhinoplasty surgeons must approach…