Septal perforation, is a term used to describe a hole or opening within the nasal septum. While some septal perforations can be asymptomatic, some can create issues including nasal obstruction, crusting, pain, and epistaxis. There are many cause of septal perforation: Septal su...
View More
List of Medications andSupplements to Avoid Avoid medications which can thin the blood (blood thinners). To ensure the least possible “black and blue” discoloration following the operation, do not take any of the medications 2 weeks prior to the procedure...
View More
What are turbinates and how do they impact breathing? Turbinates are a normal, anatomic structure in the nose which serve to humidify and filter air. There are three sets of turbinates in the nose. The inferior turbinates (the lowest turbinate shown in picture) is the turbinate...
View More
The inferior turbinates are important structures in the lower portion of the nose. The inferior turbinates main goal is to filter air and help humidify the air we breathe. In some cases, however, especially with allergies, the turbinates can become enlarged, blocking airflow fro...
View More
What is costal cartilage grafting? Rib RhinoplastyCostal cartilage grafting is the harvest of cartilage from the cartilaginous portion of the rib. The rib is harvested through an incision along the chest wall to remove the cartilage portion of the rib, leaving behind the bo...
View More
Auricular cartilage grafting and rhinoplasty and nasal reconstruction What is auricular cartilage grafting? Auricular cartilage grafting is taking cartilage from the ear to reconstruct the nose. Typically grafts are taken from the concha cymba and cavum of the ear (MARKED IN RED)...
View More
A plumping graft is placed at the nasolabial angle and is used to augment the area in or around the nasal spine. These grafts can make a long nose look shorter by an optical illusion. These grafts can be crushed cartilage,firm cartilage, or larger pieces of cartilage. Stiffer g...
View More
A composite graft is a combination of two materials, typically skin and cartilage. This graft is used in patients with alar retraction, where the nostril retracts. In some of these cases, the result of this is due to loss of tissue and cartilage, creating space for the nostril to...
View More
Dorsal augmentation grafts are used to augment the nasal dorsum. Autogenous substances are preferred over alloplastic materials (Dr. Shah does not use alloplastic materials). Septal cartilage can be layered to create moderate dorsal augmentation. In some cases, costal cartilage is...
View More
Radix grafts are grafts placed in the superior portion of the nose, aka where the nose meets the forehead. The purpose of radix grafts to change the angle that the dorsum so that it is not too low on the face. This allows for a longer more elegant nose in some instanc...
View More
Onlay grafts are grafts which are laid on top of an area. Theoretically, this graft can be placed anywhere within the nose. Most often this graft serves to augment an area which is deficient in cartilage which would otherwise cause a depression. When using an onlay graft it is i...
View More
Columellar struts are used to help support the nasal tip. Their use in rhinoplasty is for patients where projection is to be maintained or slightly projected. Columellar struts can be used with either an endonasal approach or external approach. The main disadvantage o...
View More