The Problem Small nose. The Background Asian people tend to have weak cartilage framework and thick skin, which is commonly associated with low dorsal height and poor tip projection. Due to its strength and capability of providing ample graft material,…
Introduction Liquid rhinoplasty is a modern term used to describe the use of hyaluronic acid fillers to augment, contour, and reshape the external appearance of the nose. The types of defects involving a clinical problem and anticipated outcomes are described…
The Problem Despite more than 100 years of progress, there is still no consensus about the best way to augment the nasal dorsum. Local deformities of the nasal dorsum range from subtle, such as a slight convexity, and more severe,…
The Background Most patients requesting rhinoplasty will focus on the position and shape of the bridge first, and the form and shape of their nasal tip second. “I don’t like the bump” is a familiar request for rhinoplasty and traditionally…
The principle of conservative rhinoplasty, called “preservation rhinoplasty” by Daniel, is to improve the shape of the nose while preserving its main anatomic structures, especially the osseocartilaginous vault, and protecting or, even better, improving its main function of ventilation. It…
The Problem A wide nasal tip occurs when the dome and lateral crura are wider than normal. The area between the nostrils and the lateral crura (i.e., the facet polygon) is usually narrow. The overgrowth of the dorsal cartilage and…
The Problem Deformed lateral crura. The Background When modern rhinoplasty was first introduced, it was usually reduction rhinoplasty as championed by Jacques Joseph. Rhinoplasty has gone through different stages of development throughout the years, resulting in two additional schools of…
The Problem The nasal base is an important aspect of the nose that frequently needs to be changed in aesthetic nose surgery. Wide nasal bases that are exacerbated by facial movements are the subject of this chapter. The Background There…
The Problem Wide alar base: aesthetically over-large sill and/or excess alar curve. The Background The widened alar base is a common anatomical variation that is often addressed in the routine rhinoplasty to address aesthetic changes for improving the overall appearance…
The Problem Traditionally, the resection of the cephalic portion of the lateral crura of the alar cartilages has been performed to improve the shape and rotation of the nasal lobule. However, this maneuver frequently leads to aesthetic and functional scar-induced…