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...
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A Caudal Extension Graft is a versatile graft used in rhinoplasty. It serves as a fixed graft to the nasal septum and effectively adds size to a septum. It can be used in cases of deviation of the nose as well as in cases which require adjustment in length, projection, size and&n...
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Shield grafts are useful in patients lacking projection in the nasal tip lobule. The name shield is given due to the shape which is similar to a shield. There are a variety of other grafts which may serve a similar but distinct purpose such as a Peck graft. “The nose should ...
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“The nose should fit the face”A strong jawline would suggest a stronger nose. Lateral crural strut grafts are grafts used in rhinoplasty to support the lateral crus. They are placed underneath the lower lateral cartilage in an effort to reshape or repositon the lower l...
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Spreader grafts are used to widen the middle vault of the nose. They are placed between the upper lateral cartilage and the dorsal septum. These grafts are useful in patients with narrow middle portion of the nose. These grafts can help open up the internal nasal ...
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Alar rim grafts, also known as alar contour grafts, are grafts used in rhinoplasty to improve the triangularity of the nose. Grafts are placed in the most caudal aspect of the nasal ala in an effort to prevent a pinched nose appearance. The grafts are also helpful in improving t...
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Alar batten grafts are grafts used to fortify the nasal airway and prevent collapse. The name alar batten comes from the word alar (which is part of the nasal ala) and batten (which means is a nautical term meant ascribed to a sail to stiffen). More recently they have been used ...
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Preoperative Preparation See also preoperative preparation Immediately after the procedure A dressing is placed after the procedure around the head and neck. It is critical that the dressing is not removed until the next day by the doctor. The dressing is designed to pro...
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Some patients are concerned about the width of their noses. The guideline used by most surgeons is to draw a line (line D) from the medial canthus (closest part to center of the eye) straight down on the face (ideally use a line perpendicular to the Frankfort Horizontal). Figure 1...
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Rhinoplyma is a massive lobular swelling of the nose. Originally, it was thought to be related to excessive drinking, i. e. W. C. Field's nose, but later on it was found to be caused by distinct processes. It can be caused by a form of acne, called acne rosacea, which in ter...
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It is critical after rhinoplasty to apply ice to the eyes and cheek area for up to 72 hours after surgery. Often times the eyes and cheeks are the source of bruising and swelling. Ice vasoconstricts the area minimizing bruising and swelling. Instructions for Ice: For comfort, a li...
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