“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 PreparationSee also preoperative preparationImmediately 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...
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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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by Mia JohnsonEthnically Responsible RhinoplastyEthnically Responsible Rhinoplasty For many years, there was a stigma that an African American patient seeking rhinoplasty was not necessarily trying to enhance their appearance but in effect look more white. Even in some of t...
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What can I do about those dark circles under my eye?Treatment of dark circles first begins with proper diagnosis of the cause . There are many things which can cause dark circles including allergies, aging, dehydration, congenital (genetic condition which runs in family), and abn...
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S is a beauty pageant contestant and seeking to be a model. She unfortunately had an injury some years ago during cheerleading which led to a broken nose and deviated septum. She had difficulty breathing and did not like the shape of her nose.She underwent a rhinoplasty by a Chic...
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